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JOAN EASTLACK P.A.
NPI 1316284151
Physician Assistant - Medical in Long Beach, CA

Active since January 14, 2013
432 PANAMA AVE, LONG BEACH, CA 90814(562) 961-3831 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joan Eastlack P.a. NPPES

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

JOAN EASTLACK P.A. (NPI 1316284151) is an individual medical provider in Long Beach, California, licensed in California (14906) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1316284151
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJOAN EASTLACKCredential: P.A.
Location Address432 PANAMA AVELong Beach, CA 90814-1909
Mailing Address432 Panama AveLong Beach, CA 90814-1909 · (562) 961-3831
Phone(562) 961-3831
Sole ProprietorNo
Enumeration DateJanuary 14, 2013
✔ NPI 1316284151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 14906
432 PANAMA AVE, Long Beach, CA 90814
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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 Joan Eastlack's NPI number?

The NPI number for Joan Eastlack is 1316284151. It was assigned to this individual provider in the NPPES registry on January 14, 2013.

Where is Joan Eastlack located?

Joan Eastlack practices at 432 Panama Ave, Long Beach, CA 90814. The listed phone number is (562) 961-3831.

What is Joan Eastlack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Joan Eastlack was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.