Organization Active NPI

Sandy Witzling,M.D.,Inc.

  • Surgery Physician
  • Long Beach, CA
National Provider Identifier
1073792982
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A30242 Issued in CA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.