Healthcare Provider Details

I. General information

NPI: 1952517336
Provider Name (Legal Business Name): CITY OF LONG BEACH HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 E RHEA ST
LONG BEACH CA
90806-5125
US

IV. Provider business mailing address

1133 E RHEA ST
LONG BEACH CA
90806-5125
US

V. Phone/Fax

Practice location:
  • Phone: 562-570-4440
  • Fax:
Mailing address:
  • Phone: 562-570-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RICARDO VALDEZ
Title or Position: CASE MANAGER
Credential:
Phone: 562-570-4440