Healthcare Provider Details

I. General information

NPI: 1245167196
Provider Name (Legal Business Name): FAM BUSINESS MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10910 LONG BEACH BLVD STE 106
LYNWOOD CA
90262-2687
US

IV. Provider business mailing address

10910 LONG BEACH BLVD STE 106
LYNWOOD CA
90262-2687
US

V. Phone/Fax

Practice location:
  • Phone: 310-554-4106
  • Fax: 310-554-4173
Mailing address:
  • Phone: 310-554-4106
  • Fax: 310-554-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO RODRIGUEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 310-554-4106