Provider Demographics
NPI:1043304769
Name:FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Entity type:Organization
Organization Name:FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:M
Authorized Official - Last Name:FELDKAMP IV
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:909-382-0201
Mailing Address - Street 1:2777 LONG BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1513
Mailing Address - Country:US
Mailing Address - Phone:562-595-5653
Mailing Address - Fax:562-595-4247
Practice Address - Street 1:2777 LONG BEACH BLVD
Practice Address - Street 2:SUITE200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1571
Practice Address - Country:US
Practice Address - Phone:562-595-5653
Practice Address - Fax:909-494-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D0668307OtherCLIA ID
CA1043304769Medicaid