MEDICARE: AG SEAL BEACH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	060000083	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699769182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AG SEAL BEACH, LLC

Provider Business Mailing Address
First Line	:	3000 NORTH GATE ROAD
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740
Country	:	US
Telephone Number	:	562-598-2477
Fax Number	:	310-574-1322

Provider Business Practice Location Address
First Line	:	3000 NORTH GATE ROAD
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740
Country	:	US
Telephone Number	:	562-598-2477
Fax Number	:	562-594-8086

Authorized Official
Title or Position	:	MANAGER
Name	:	JACOB WINTNER
Credential	:
Telephone Number	:	323-651-1808

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	07/21/2014

Similar Medicare Providers

1205830890 — MR. KENNETH STEVEN ALPERN MD
Practice Location Address:

1198 PACIFIC COAST HWY STE 1
SEAL BEACH, CA
90740-6251

Practice Phone: 562-799-7071
Practice Fax:

1043217201 — DR. KAROL ANN BAILEY PH.D.
Practice Location Address:

212 MAIN ST STE A3
SEAL BEACH, CA
90740-6378

Practice Phone: 562-431-3423
Practice Fax:

1699777292 — PRAKASH NARAIN MD
Practice Location Address:

1661 GOLDEN RAIN RD
SEAL BEACH, CA
90740-1685

Practice Phone: 562-493-9581
Practice Fax: 562-430-6795

1467444893 — STERLING PATHOLOGY MED CORP
Practice Location Address:

3020 OLD RANCH PKWY , SUITE 300
SEAL BEACH, CA
90740-2765

Practice Phone: 562-799-5518
Practice Fax: 562-799-5544

1366435638 — MR. CHANGGAO YANG MD
Practice Location Address:

3030 OLD RANCH PKWY , SUITE 430
SEAL BEACH, CA
90740-2765

Practice Phone: 562-799-8900
Practice Fax: 562-799-8901

1255324018 — STERLING PATHOLOGY MEDICAL CORPORATION
Practice Location Address:

3030 OLD RANCH PKWY , SUITE 430
SEAL BEACH, CA
90740-2765

Practice Phone: 562-799-8900
Practice Fax: 562-799-8901

Directions to “AG SEAL BEACH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.