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ST NAZARENE MEDICAL CLINIC INC
NPI 1093966822
Clinic/Center - Primary Care in Long Beach, CA

Active since October 10, 2008
2403 ATLANTIC AVE, LONG BEACH, CA 90806(562) 989-0145(562) 989-2135 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Nazarene Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST NAZARENE MEDICAL CLINIC INC (NPI 1093966822) is a healthcare organization registered as a primary care in Long Beach, California and active in the NPI registry since October 2008. The organization lists Suzanne L Fussell, President, as its authorized official.

NPPES Registry Identity

NPI1093966822
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST NAZARENE MEDICAL CLINIC INC
Location Address2403 ATLANTIC AVELong Beach, CA 90806-3221
Mailing Address2403 Atlantic AveLong Beach, CA 90806-3221 · (562) 989-0145 · Fax (562) 989-2135
Phone(562) 989-0145
Fax(562) 989-2135
Organization SubpartYes
Authorized OfficialSuzanne L FussellPresident · (562) 989-0145
Enumeration DateOctober 10, 2008
✔ NPI 1093966822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A055383
2403 ATLANTIC AVE, Long Beach, CA 90806
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Other Identifiers 1

Medicare UPINW14367CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. JOSEPH IWUAJOKU PA
Physician Assistant
2403 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (805) 983-0547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Nazarene Medical Clinic Inc's NPI number?

The NPI number for St Nazarene Medical Clinic Inc is 1093966822. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is St Nazarene Medical Clinic Inc located?

St Nazarene Medical Clinic Inc is located at 2403 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 989-0145.

What is St Nazarene Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St Nazarene Medical Clinic Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.