Organization Active NPI

Gynecology & Obstetrics Medical GRP Inc Fka

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1093854812
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A36885 Issued in CA
Legal business name
GYNECOLOGY & OBSTETRICS MEDICAL GRP INC FKA
Practice address
3550 Linden Ave Ste 1
Long Beach, CA 90807-4577
Phone
(562) 595-5331
Fax
(562) 595-1335
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Essam Taymour, MD
Title
President
Phone
(562) 595-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A36885 CA Primary

Addresses

Primary practice location

3550 Linden Ave Ste 1
Long Beach, CA 90807-4577

Mailing address

3550 Linden Ave Ste 1
Long Beach, CA 90807-4577
Phone (562) 595-5331

National Provider Directory

National Provider Directory

Locations

3550 Linden Ave
Ste 1
Long Beach, CA 90807
Phone (562) 595-5331

13273 Jamboree Rd
Tustin, CA 92782
Phone (714) 832-2222

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1093854812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LINDEN AVE STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074577",
            "telephone_number": "562-595-5331",
            "fax_number": "562-595-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LINDEN AVE STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074577",
            "telephone_number": "562-595-5331",
            "fax_number": "562-595-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY & OBSTETRICS MEDICAL GRP INC FKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "TAYMOUR",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-595-5331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A36885",
            "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 Apr 18, 2017; 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.