Organization Active NPI

H L Sulit Medical Professional Corp

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1508897893
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A30161 Issued in CA
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

Updated by the provider on Apr 22, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A301611MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.