Healthcare Provider Details

I. General information

NPI: 1689235418
Provider Name (Legal Business Name): NEEL SUBRAMANIAN IYER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
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: 855-851-4402
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberOS021195
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number25MB10663800
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number20A22593
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDO01333
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: