Active NPI
PCH Diagnostic Center
- Diagnostic Ultrasound Physician
- Long Beach, CA
National Provider Identifier
1376973040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- PCH DIAGNOSTIC CENTER
- Practice address
- 2990 E. Pacific Coast Hwy
Suite B
Long Beach, CA 90804 - Phone
- (562) 343-7181
- NPI assigned
- Nov 18, 2013
- 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
- Mr. Larry Lee
- Title
- Manager
- Phone
- (714) 417-5836
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
2990 E. Pacific Coast Hwy
Suite B
Long Beach, CA 90804
Mailing address
2990 E. Pacific Coast Hwy
Suite B
Long Beach, CA 90804
Phone (562) 343-7181
National Provider Directory
National Provider Directory- Tax ID family
- PCH Diagnostic Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Long Beach, CA
- NPI 1750713343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384732800000",
"number": "1376973040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 E. PACIFIC COAST HWY",
"address_2": "SUITE B",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90804",
"telephone_number": "562-343-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 E. PACIFIC COAST HWY",
"address_2": "SUITE B",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90804",
"telephone_number": "562-343-7181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PCH DIAGNOSTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "714-417-5836",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"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 Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.