MEDICARE: THE LOVE PRACTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QC1500X	Community Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1467386326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LOVE PRACTICE

Provider Business Mailing Address
First Line	:	701 PINE AVE STE 403
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-4321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 PINE AVE STE 403
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-4321
Country	:	US
Telephone Number	:	562-673-8959
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	TATYAHNA COSTELLO
Credential	:
Telephone Number	:	562-673-8959

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1881475812 — HARMONY HOUSE RESIDENTIAL CARE LLC
Practice Location Address:

701 PINE AVE STE 403
LONG BEACH, CA
90813-4321

Practice Phone: 323-598-7955
Practice Fax:

1316036239 — MS. ANA MARGARITA GARCIA MA, MFT
Practice Location Address:

4321 OLIVE AVE
LONG BEACH, CA
90807-2443

Practice Phone: 310-849-3699
Practice Fax:

1912485731 — JOHN M ROGERS LPC
Practice Location Address:

2483 W LONG CIR
LITTLETON, CO
80120-4321

Practice Phone: 720-883-7795
Practice Fax:

1457359929 — DR. RODNEY J HERMAN M.D.
Practice Location Address:

3345 BURNS RD 302
PALM BEACH GARDENS, FL
33410-4321

Practice Phone: 561-622-7661
Practice Fax: 561-622-4651

1528049194 — DR. RANDALL MARK TAUBMAN
Practice Location Address:

3345 BURNS RD STE 302
PALM BEACH GARDENS, FL
33410-4321

Practice Phone: 561-622-7661
Practice Fax:

1336178169 — ILAN KUPERMAN M.D.
Practice Location Address:

4321 BIRCH ST
NEWPORT BEACH, CA
92660-1923

Practice Phone: 949-851-1550
Practice Fax:

Directions to “THE LOVE PRACTICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.