Healthcare Provider Details

I. General information

NPI: 1174090849
Provider Name (Legal Business Name): BETH EISER STERLING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 JULIAN AVE
LONG BEACH CA
90808-4436
US

IV. Provider business mailing address

3131 JULIAN AVE
LONG BEACH CA
90808-4436
US

V. Phone/Fax

Practice location:
  • Phone: 562-818-6052
  • Fax:
Mailing address:
  • Phone: 562-818-6052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25466
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: