Healthcare Provider Details

I. General information

NPI: 1558185058
Provider Name (Legal Business Name): FIRST RESPONSE HEALTHCARE INC., DOCTOR OF NURSING PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6335 MYRTLE AVE
LONG BEACH CA
90805-2430
US

IV. Provider business mailing address

6335 MYRTLE AVE
LONG BEACH CA
90805-2430
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-3855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAEZE NWANONENYI
Title or Position: OWNER, CEO
Credential: DNP
Phone: 310-853-3855