Healthcare Provider Details

I. General information

NPI: 1861173759
Provider Name (Legal Business Name): NEIGHBORHOOD PEDIATRICS URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ATLANTIC AVE
LONG BEACH CA
90813-4565
US

IV. Provider business mailing address

780 ATLANTIC AVE
LONG BEACH CA
90813-4565
US

V. Phone/Fax

Practice location:
  • Phone: 562-624-1111
  • Fax: 562-624-1115
Mailing address:
  • Phone: 562-624-1111
  • Fax: 562-624-1115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON LAKTINEH
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 562-624-1111