Healthcare Provider Details

I. General information

NPI: 1861426058
Provider Name (Legal Business Name): VALERIUS MEDICAL GROUP & RESEARCH CTR OF GREATER LONG BEACH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 LONG BEACH BLVD STE 365
LONG BEACH CA
90806-1516
US

IV. Provider business mailing address

PO BOX 21299
LONG BEACH CA
90801-4299
US

V. Phone/Fax

Practice location:
  • Phone: 562-989-2374
  • Fax: 562-989-2364
Mailing address:
  • Phone: 562-989-2374
  • Fax: 562-989-2364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHANIEL NEAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-989-2374