Active NPI
H L Sulit Medical Professional Corp
- Ophthalmology Physician
- Long Beach, CA
National Provider Identifier
1508897893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A30161
- Legal business name
- H L SULIT MEDICAL PROFESSIONAL CORP
- Practice address
- 825 Pacific Ave
Long Beach, CA 90813-4225 - Phone
- (562) 436-9771
- Fax
- (562) 436-1067
- NPI assigned
- Jul 5, 2006
- 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
- Dr. Hector L Sulit, M.D.
- Title
- President
- Phone
- (562) 436-9771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A30161 | CA | Primary |
Addresses
Primary practice location
825 Pacific Ave
Long Beach, CA 90813-4225
Mailing address
825 Pacific Ave
Long Beach, CA 90813-4225
Phone (562) 436-9771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A301611 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
825 Pacific Ave
Long Beach, CA 90813
Phone (562) 432-1532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1508897893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134225",
"telephone_number": "562-436-9771",
"fax_number": "562-436-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134225",
"telephone_number": "562-436-9771",
"fax_number": "562-436-1067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H L SULIT MEDICAL PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "SULIT",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-436-9771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A30161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A301611",
"state": "CA"
}
],
"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 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.