Long Beach Memorial Medical

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51029 Issued in CA

Legal business name

LONG BEACH MEMORIAL MEDICAL

Practice address

2801 Atlantic Ave
Long Beach, CA 90806

Phone

(562) 933-7948

Fax

(562) 933-8785

NPI assigned

Sep 13, 2006

Organization subpart

No

Name

Chris Finch

Title

Chief Compliance Officer

Phone

(714) 377-3218

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

• Jagmohan S. Batra, M.D.

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1801936844
  NPD (past)
• Tempe Kathryn Chen, MD

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1043368863
  NPD (past)
• Joel M Cherlow, M.D., PH.D.

  • Radiation Oncology Physician
  • Laguna Hills, CA
  • NPI 1194736710
  NPD (past)
• Audra Deveikis, M.D.

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1558461327
  NPD (past)
• Farbod Esmailian, MD

  • Plastic Surgery Physician
  • Los Alamitos, CA
  • NPI 1578677969
  NPD (past)
• Cynthia Herzog, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1588760227
  NPD (past)
• Cheryl Heidi Hoffman, MD

  • Vascular & Interventional Radiology Physician
  • Manhattan Beach, CA
  • NPI 1528040508
  NPD (past)
• Grace Son Lee, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1174703854
  NPD (past)
• Melvin I Marks, M.D.

  • General Practice Physician
  • Newport Beach, CA
  • NPI 1932536927
  NPD (past)
• David Edward Michalik, DO

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1194842344
  NPD (past)
• Stuart Miller, M.D.

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1295787810
  NPD (past)
• Kourosh Nourisamie, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1124000757
  NPD (past)

Locations

• OUTPATIENT PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2018.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1891890158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20359",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908013359",
            "telephone_number": "562-933-7948",
            "fax_number": "562-933-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-933-7948",
            "fax_number": "562-933-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEMORIAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51029",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051699",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA223880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical
• Long Beach Memorial Medical Center
• Long Beach Memorial Medical Center
• Long Beach Memorial Medical Center

• All providers in Long Beach, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.