| Centinela Medical Center Of South Bay Inc. | |
|
1125 Cherry Ave Long Beach CA 90813-3911 | |
| (562) 591-1111 | |
| Not Available |
| Full Name | Centinela Medical Center Of South Bay Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 Cherry Ave, Long Beach, California |
| Authorized Official Name and Position | Jerry A. Okonkwoaguolu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5625911111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centinela Medical Center Of South Bay Inc. Po Box 1405 Lawndale CA 90260-6305 Ph: (562) 591-1111 | Centinela Medical Center Of South Bay Inc. 1125 Cherry Ave Long Beach CA 90813-3911 Ph: (562) 591-1111 |
| NPI Number | 1912219635 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 03/31/2014 |
| Medicare PECOS PAC ID | 8729219233 |
|---|---|
| Medicare Enrollment ID | O20140326002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912219635 | NPI | - | NPPES |
| Provider Name | Jerry A Okonkwo Aguolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134239932 PECOS PAC ID: 6204832819 Enrollment ID: I20070515000220 |
St John Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3530 Long Beach Blvd Ste 120, Long Beach, CA 90807 Phone: 562-989-1200 | |
Bao Quoc Le Md. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2944 E Anaheim St, Long Beach, CA 90804 Phone: 562-599-5777 Fax: 562-433-2886 | |
Salida Del Sol Cbas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Atlantic Ave, Long Beach, CA 90805 Phone: 562-269-4355 | |
Prohealth Partners A Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 E San Antonio Dr, Suite 6, Long Beach, CA 90807 Phone: 562-423-6441 Fax: 562-422-1301 | |
Aids Healthcare Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 E Pacific Coast Hwy, Long Beach, CA 90804 Phone: 323-436-5019 Fax: 323-337-9142 | |
The Children's Clinic, Serving Children And Their Families Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 Atlantic Ave Ste 103, Long Beach, CA 90813 Phone: 562-264-3114 Fax: 562-216-6179 | |
Housecall Doctors Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Kilroy Airport Way Ste 270, Long Beach, CA 90806 Phone: 949-366-1053 Fax: 949-916-0387 |