Healthcare Provider Details

I. General information

NPI: 1205889144
Provider Name (Legal Business Name): REGIONAL PHYSICIANS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1974 SANTA FE AVE
LONG BEACH CA
90810-4064
US

IV. Provider business mailing address

1974 SANTA FE AVE
LONG BEACH CA
90810-4064
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-9799
  • Fax: 562-595-8884
Mailing address:
  • Phone: 562-595-9799
  • Fax: 562-595-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA32145
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA32145
License Number StateCA

VIII. Authorized Official

Name: DR. SEN B LAI
Title or Position: CEO
Credential: MD
Phone: 562-595-9799