Healthcare Provider Details

I. General information

NPI: 1962973206
Provider Name (Legal Business Name): REEM ATIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 ATLANTIC AVE STE 210
LONG BEACH CA
90807-4569
US

IV. Provider business mailing address

3530 ATLANTIC AVE STE 210
LONG BEACH CA
90807-4569
US

V. Phone/Fax

Practice location:
  • Phone: 562-424-1886
  • Fax:
Mailing address:
  • Phone: 562-424-1886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: