Healthcare Provider Details

I. General information

NPI: 1366388597
Provider Name (Legal Business Name): NEUPATH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3646 LONG BEACH BLVD STE 210
LONG BEACH CA
90807-6034
US

IV. Provider business mailing address

3646 LONG BEACH BLVD STE 210
LONG BEACH CA
90807-6034
US

V. Phone/Fax

Practice location:
  • Phone: 562-687-2945
  • Fax: 562-340-6160
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMER ROUMANI
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 951-500-5358