Organization Active NPI

Anesthesia Assisted Medical Opiate Detoxification, Inc.

  • Addiction Medicine (Anesthesiology) Physician
  • Long Beach, CA
National Provider Identifier
1306139910
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
32166 Issued in CA
Legal business name
ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
Practice address
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone
(310) 205-0808
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Clare Waismann
Title
Manager
Phone
(310) 205-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LA0401X 32166 CA Primary

Addresses

Primary practice location

2776 Pacific Ave
Long Beach, CA 90806-2613

Mailing address

250 N Robertson Blvd
Suite 419
Beverly Hills, CA 90211-1788
Phone (310) 205-0808

National Provider Directory

National Provider Directory

Locations

250 N Robertson Blvd
Ste 419
Beverly Hills, CA 90211
Phone (310) 205-0808

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1306139910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE 419",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-205-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "310-205-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "WAISMANN",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-205-0808"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "32166",
            "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 May 16, 2011; 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.