Long Beach Out PT Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LONG BEACH OUT PT SURGERY CENTER

Practice address

2370 Long Beach Blvd
Long Beach, CA 90806-3260

Phone

(562) 595-9493

Fax

(562) 595-9837

NPI assigned

Feb 20, 2009

Last updated

Feb 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pearlman D Hicks Jr., M.D.NPI 1215966809

Title

Owner

Phone

(562) 595-9493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pearlman David Hicks Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Long Beach, CA
  • NPI 1215966809
  Authorized official Same address or phone

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1881834596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063260",
            "telephone_number": "562-595-9493",
            "fax_number": "562-595-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063260",
            "telephone_number": "562-595-9493",
            "fax_number": "562-595-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH OUT PT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "PEARLMAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Miller Children's Hospital
• Long Beach Neurological Medical Group, Inc.
• Long Beach Obstetrics Gynecology Medical Group Inc
• Long Beach Optometric Group Inc.
• Long Beach Orthodontics
• Long Beach Pain Center & Medical Clinic
• Long Beach Post Acute LLC (Long Beach Post Acute)
• Long Beach Prescription Pharmacy 2
• Long Beach Prescription Pharmacy Inc (Long Beach Prescription Pharmacy)
• Long Beach Prime Medical Group Inc

• Ambulatory Surgical Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.