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

Long Beach Prime Medical Group Inc

Organization Orthopaedic Surgery Physician · NPI 1205955986

Long Beach Prime Medical Group Inc is an Orthopaedic Surgery Physician in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

4014 Long Beach Blvd #210
Long Beach, CA 90807-5407
Phone: (562) 997-7100
Fax: (562) 981-9423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (CA)

Record details

NPI number1205955986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official G.B. Haeri — Medical Director · (562) 997-7100
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 21, 2022
Mailing address4014 Long Beach Blvd, 210, Long Beach, CA 90807-5407

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