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MY PEDIATRIC MEDICAL CLINIC INC
NPI 1780982017
Pediatrics in Long Beach, CA

Active since March 10, 2011CLIA 05D2024244 · Waiver
2777 PACIFIC AVE, SUITE 209, LONG BEACH, CA 90806(562) 989-1166(562) 989-1188 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Pediatric Medical Clinic Inc NPPES

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

MY PEDIATRIC MEDICAL CLINIC INC (NPI 1780982017) is a healthcare organization registered as a pediatrics in Long Beach, California and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Hanan N Haman, Pediatrian, as its authorized official.

NPPES Registry Identity

NPI1780982017
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMY PEDIATRIC MEDICAL CLINIC INC
Location Address2777 PACIFIC AVE, SUITE 209Long Beach, CA 90806-2625
Mailing Address2777 Pacific Ave, Suite 209Long Beach, CA 90806-2625 · (562) 989-1166 · Fax (562) 989-1188
Phone(562) 989-1166
Fax(562) 989-1188
Organization SubpartNo
Authorized OfficialHanan N HamanPediatrian · (562) 989-1166
Enumeration DateMarch 10, 2011
✔ NPI 1780982017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2777 PACIFIC AVE, Long Beach, CA 90806
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2024244

My Pediatric Medical Clinic, Inc · Long Beach, CA
Active · expires May 11, 2027
CLIA Number05D2024244
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorHanan N. Haman
Laboratory Phone(562) 989-1166
Laboratory LocationMy Pediatric Medical Clinic, Inc2777 Pacific Ave Ste 209, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORP
Non-Pharmacy Dispensing Site
2777 PACIFIC AVE, SUITE K
LONG BEACH, CA 90806
Los Angeles County (562) 989-5712
PACIFIC INTERNAL MEDICINE GROUP
Internal Medicine
2777 PACIFIC AVE, SUITE E
LONG BEACH, CA 90806
Los Angeles County (562) 426-6571
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Non-Pharmacy Dispensing Site
2777 PACIFIC AVE, STE K
LONG BEACH, CA 90806
Los Angeles County (562) 989-5712
A.N.A. MEDICAL ASSOCIATES INC
Family Medicine
2777 PACIFIC AVE, SUITE N
LONG BEACH, CA 90806
Los Angeles County (562) 424-8199
JOHN ARTHUR ENGELMAN
Chiropractor
2777 PACIFIC AVE, B
LONG BEACH, CA 90806
Los Angeles County (562) 427-6366
KRISHNA N. MANVI, M.D., INC.
Internal Medicine (Cardiovascular Disease)
2777 PACIFIC AVE, SUITE D
LONG BEACH, CA 90806
Los Angeles County (562) 426-1792
LA GOOD SAMARITAN PATHOLOGY MEDICAL GROUP, INC.
Clinical Medical Laboratory
2777 PACIFIC AVE, SUITE H201& I202
LONG BEACH, CA 90806
Los Angeles County (562) 981-0100
ALLA GARTSMAN M.D.
Internal Medicine
2777 PACIFIC AVE, SUITE E
LONG BEACH, CA 90806
Los Angeles County (562) 426-6571

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 My Pediatric Medical Clinic Inc's NPI number?

The NPI number for My Pediatric Medical Clinic Inc is 1780982017. It was assigned to this organization in the NPPES registry on March 10, 2011.

Where is My Pediatric Medical Clinic Inc located?

My Pediatric Medical Clinic Inc is located at 2777 Pacific Ave Suite 209, Long Beach, CA 90806. The listed phone number is (562) 989-1166.

What is My Pediatric Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does My Pediatric Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2024244) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Pediatric Medical Clinic Inc was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.