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

Roots Addiction and Psychiatry Medical Group, PC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1205529252

Roots Addiction and Psychiatry Medical Group, PC is an Addiction Medicine (Internal Medicine) Physician in Long Beach, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3939 Atlantic Ave Ste 100
Long Beach, CA 90807-3529
Phone: (562) 473-0825
Fax: (562) 473-0825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X

Record details

NPI number1205529252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrei Dokukin — Ceo · (562) 304-9592
NPI enumeratedMay 26, 2023
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529

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