Healthcare Provider Details

I. General information

NPI: 1851218424
Provider Name (Legal Business Name): FUSION COMMUNITY EMPOWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4195 N VIKING WAY STE 210
LONG BEACH CA
90808-1468
US

IV. Provider business mailing address

4195 N VIKING WAY STE 210
LONG BEACH CA
90808-1468
US

V. Phone/Fax

Practice location:
  • Phone: 562-204-6033
  • Fax:
Mailing address:
  • Phone: 562-204-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLY ROBINSON
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 562-204-6028