Unknown Individual – Pulmonary Disease Physician, NPI 1699712943

Unknown Individual is a healthcare provider. based in Long beach, California. specializing in Pulmonary Disease Physician. They hold a License No. G13355 (CA). The NPI Number for Unknown Individual is 1699712943

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699712943
Phone
Not provided
Address
1045 ATLANTIC AVE
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1966 (60 years ago)
PAC ID
2163328824
Professional Enrollment ID
I20100504000711
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Atlantic Avenue, Long Beach, Los Angeles County, California, 90805, United States

    SUITE 902

    LONG BEACH, CA 908133408

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90813)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1699712943; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Pulmonary Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Long Beach, California on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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