Healthcare Provider Details

I. General information

NPI: 1649681008
Provider Name (Legal Business Name): REBECCA SIMON QUIGLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA SIMON MD

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 01/16/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2888 LONG BEACH BLVD STE 400
LONG BEACH CA
90806-1553
US

IV. Provider business mailing address

2888 LONG BEACH BLVD STE 400
LONG BEACH CA
90806-1553
US

V. Phone/Fax

Practice location:
  • Phone: 562-997-8510
  • Fax:
Mailing address:
  • Phone: 562-997-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD60839910
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberA139895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: