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Contact Information

LONG BEACH ANESTHESIA MEDICAL GROUP
1050 LINDEN AVE
LONG BEACH, CA90813
 Phone: 562-491-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LONG BEACH ANESTHESIA MEDICAL GROUP

NPI # 1174548952
LBN Legal business name LONG BEACH ANESTHESIA MEDICAL GROUP
Authorized official LAURA RUSSELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 08/16/2018 - About 8 years ago
Identifiers
CA License # FNP16965
CA Medicaid GR0046640
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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