Healthcare Provider Details

I. General information

NPI: 1952644197
Provider Name (Legal Business Name): LINDSAY ENEBAK MOSSINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 N LOS COYOTES DIAGONAL STE 112
LONG BEACH CA
90808-3936
US

IV. Provider business mailing address

3320 N LOS COYOTES DIAGONAL STE 112
LONG BEACH CA
90808-3936
US

V. Phone/Fax

Practice location:
  • Phone: 562-684-7820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number55762
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA154823
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA154823
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number55762
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: