NPIMap

Organization Active NPI

Long Beach Memorial Pathology Medical Group Inc.

  • Clinical Medical Laboratory
  • Long Beach, CA
National Provider Identifier
1407218886
Registry record updated May 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF348623 Issued in CA
Legal business name
LONG BEACH MEMORIAL PATHOLOGY MEDICAL GROUP INC.
Practice address
2840 Long Beach Blvd
Suite 430
Long Beach, CA 90806-1516
Phone
(562) 933-0716
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2016

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

Authorized official

Name
Melvin Glen Hoshiko, M.D.
Title
Ceo
Phone
(562) 933-0716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF348623 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
Suite 430
Long Beach, CA 90806-1516

Mailing address

2840 Long Beach Blvd
Suite 430
Long Beach, CA 90806-1516
Phone (562) 933-0716

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2840 Long Beach Blvd
Ste 430
Long Beach, CA 90806
Phone (562) 933-0716

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462060800000",
    "number": "1407218886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "SUITE 430",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-933-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "SUITE 430",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-933-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEMORIAL PATHOLOGY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-05-01",
        "status": "A",
        "authorized_official_last_name": "HOSHIKO",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-933-0716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF348623",
            "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 1, 2016; 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.