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FIRST INTEGRATED CARE MEDICAL GROUP INC
NPI 1720077852
Family Medicine in Long Beach, CA

Active since October 20, 2005
1339 W WILLOW ST, LONG BEACH, CA 90810(562) 492-6698(562) 492-9553 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2021, Mar 30, 2020 (2 updates tracked since 2020).

About First Integrated Care Medical Group Inc NPPES

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

FIRST INTEGRATED CARE MEDICAL GROUP INC (NPI 1720077852) is a healthcare organization registered as a family medicine in Long Beach, California and active in the NPI registry since October 2005. The organization lists Elnora T Tabila, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720077852
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRST INTEGRATED CARE MEDICAL GROUP INC
Location Address1339 W WILLOW STLong Beach, CA 90810-3116
Mailing Address1339 W Willow StLong Beach, CA 90810-3116 · (562) 492-6698 · Fax (562) 492-9553
Phone(562) 492-6698
Fax(562) 492-9553
Organization SubpartNo
Authorized OfficialElnora T TabilaOffice Manager · (562) 492-6698
Enumeration DateOctober 20, 2005
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1720077852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A38544
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1339 W WILLOW ST, Long Beach, CA 90810
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Other Identifiers 1

Medicaid00A385440CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. CHERYL CHUA BUNCIO FNP
Nurse Practitioner (Family)
1339 W WILLOW ST
LONG BEACH, CA 90810
Los Angeles County (562) 492-6698
MRS. CLAIRE ANDREY LEZADA DO NP-C
Nurse Practitioner (Family)
1339 W WILLOW ST
LONG BEACH, CA 90810
Los Angeles County (562) 492-6698
DR. RODOLFO T. TABILA M.D.
Family Medicine
1339 W WILLOW ST
LONG BEACH, CA 90810
Los Angeles County (562) 492-6698

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 First Integrated Care Medical Group Inc's NPI number?

The NPI number for First Integrated Care Medical Group Inc is 1720077852. It was assigned to this organization in the NPPES registry on October 20, 2005.

Where is First Integrated Care Medical Group Inc located?

First Integrated Care Medical Group Inc is located at 1339 W Willow St, Long Beach, CA 90810. The listed phone number is (562) 492-6698.

What is First Integrated Care Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for First Integrated Care Medical Group Inc was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.