NPI
California Juco Hoops Report
NPI 1851263677
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2025-09-22
- Last updated
- 2026-03-25
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 4526 California Ave
- City
- Long Beach CA
- Postal code
- 90807-1589
- Phone
- (657) 427-3895
Organization contact
- Name
- Marcus Bryant
- Title
- Manager
- Phone
- (657) 427-3895
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Long Beach, CA. 16,562 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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