Healthcare Provider Details

I. General information

NPI: 1023116811
Provider Name (Legal Business Name): CITY OF LONG BEACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 GRAND AVE
LONG BEACH CA
90815
US

IV. Provider business mailing address

2525 GRAND AVE
LONG BEACH CA
90815-1765
US

V. Phone/Fax

Practice location:
  • Phone: 562-570-4000
  • Fax: 562-570-4049
Mailing address:
  • Phone: 562-570-4000
  • Fax: 562-570-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberA052189
License Number StateCA

VIII. Authorized Official

Name: DR. CLIFF OKADA
Title or Position: ACTING CITY HEALTH OFFICER
Credential: M.D.
Phone: 562-570-4331