Memorial Healthcare Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C208621 Issued in CA

Legal business name

MEMORIAL HEALTHCARE IPA

Practice address

2525 Cherry Ave
Suite #250
Signal Hill, CA 90755-2051

Phone

(562) 981-9500

Fax

(562) 981-9521

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cathy Gies

Title

Chief Operations Officer

Phone

(562) 981-9500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033127253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHERRY AVE",
            "address_2": "SUITE #250",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552051",
            "telephone_number": "562-981-9500",
            "fax_number": "562-981-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHERRY AVE",
            "address_2": "SUITE #250",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552051",
            "telephone_number": "562-981-9500",
            "fax_number": "562-981-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTHCARE IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "562-981-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "C208621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.