Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Family Clinic of Long Beach
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
SHARON MCNEALY (CHIEF FINANCIAL OFFICER)
(562) 491-9189
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 708, LONG BEACH, CA 90813-3408
(562) 491-9045
(562) 491-9353
Mailing address
1045 ATLANTIC AVE, SUITE 708, LONG BEACH, CA 90813-3408
(562) 491-9045
(562) 491-9513
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870692255
IRS
CA
05
—
CMM70774G
—
CA
Enumeration date
03/21/2007
Last updated
09/16/2022
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