| Long Beach Internal Medical Group, Inc. a Professional Corporation | |
|
2650 Elm Ave Ste 307 Long Beach CA 90806-1600 | |
| (562) 595-8549 | |
| (562) 492-6271 |
| Full Name | Long Beach Internal Medical Group, Inc. a Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2650 Elm Ave Ste 307, Long Beach, California |
| Authorized Official Name and Position | Denise Perez (BILLING MANAGER) |
| Authorized Official Contact | 5625958549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Beach Internal Medical Group, Inc. a Professional Corporation 2650 Elm Ave Ste 307 Long Beach CA 90806-1600 Ph: (562) 595-8549 | Long Beach Internal Medical Group, Inc. a Professional Corporation 2650 Elm Ave Ste 307 Long Beach CA 90806-1600 Ph: (562) 595-8549 |
| NPI Number | 1861601981 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Medicare PECOS PAC ID | 6507840600 |
|---|---|
| Medicare Enrollment ID | O20040616000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861601981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Danny T Phu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518164094 PECOS PAC ID: 0143291906 Enrollment ID: I20040804001068 |
| Provider Name | Stephen W Hryniewicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598871741 PECOS PAC ID: 5799769816 Enrollment ID: I20111130000173 |
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