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Contact Information

LONG BEACH MEMORIAL MEDICAL
23521 PASEO DE VALENCIA
STE B-1
LAGUNA HILLS, CA92653
 Phone: 949-460-1610
 Fax: 949-458-0554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LONG BEACH MEMORIAL MEDICAL

NPI # 1679677629
LBN Legal business name LONG BEACH MEMORIAL MEDICAL
Authorized official CHRIS FINCH - (CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2006
Last updated 08/23/2018 - About 8 years ago
Identifiers
CA License # PHY40530
CA Medicaid PHA40530
Other 1996335 PK
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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