Active NPI
Sandy Witzling,M.D.,Inc.
- Surgery Physician
- Long Beach, CA
National Provider Identifier
1073792982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A30242
- Legal business name
- SANDY WITZLING,M.D.,INC.
- Practice address
- 2840 Long Beach Blvd
Suite #345
Long Beach, CA 90806-1516 - Phone
- (562) 426-1355
- Fax
- (562) 490-9711
- NPI assigned
- Oct 26, 2007
- Last updated
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandy Witzling, M.D.
- Title
- Medical Doctor
- Phone
- (562) 426-1355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A30242 | CA | Primary |
Addresses
Primary practice location
2840 Long Beach Blvd
Suite #345
Long Beach, CA 90806-1516
Mailing address
2840 Long Beach Blvd
Suite #345
Long Beach, CA 90806-1516
Phone (562) 426-1355
National Provider Directory
National Provider DirectoryLocations
2840 Long Beach Blvd
Ste 345
Long Beach, CA 90806
Phone (310) 426-1355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1073792982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 LONG BEACH BLVD",
"address_2": "SUITE #345",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061516",
"telephone_number": "562-426-1355",
"fax_number": "562-490-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 LONG BEACH BLVD",
"address_2": "SUITE #345",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061516",
"telephone_number": "562-426-1355",
"fax_number": "562-490-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDY WITZLING,M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "WITZLING",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "562-426-1355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A30242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.