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Contact Information

LONG BEACH MEMORIAL MEDICAL
2810 LONG BEACH BLVD
LONG BEACH, CA90806-1558
 Phone: 562-933-1844
 Fax: 562-933-1869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LONG BEACH MEMORIAL MEDICAL

NPI Number 1215398755
LBN Legal business name LONG BEACH MEMORIAL MEDICAL
Authorized official CHRIS FINCH - (CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2016
Last updated 08/02/2023 - About 3 years ago
Identifiers
CA License # 53582
Other 2158354 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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