Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

First Integrated Care Medical Group Inc

Organization Family Medicine Physician · NPI 1720077852

First Integrated Care Medical Group Inc is a Family Medicine Physician in Long Beach, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1339 W Willow St
Long Beach, CA 90810-3116
Phone: (562) 492-6698
Fax: (562) 492-9553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A38544 (CA)

Record details

NPI number1720077852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elnora Tabila — Office Manager · (562) 492-6698
NPI enumeratedOctober 20, 2005
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address1339 W Willow St, Long Beach, CA 90810-3116

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