Long Beach Memorial Medical

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51029 Issued in CA

Legal business name

LONG BEACH MEMORIAL MEDICAL

Doing business as

Outpatient Pharmacy

Practice address

2801 Atlantic Ave
Long Beach, CA 90806

Phone

(562) 933-7948

Fax

(562) 933-8785

NPI assigned

Sep 13, 2006

Last updated

Aug 23, 2018By 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

Chris Finch

Title

Chief Compliance Officer

Phone

(714) 377-3218

Specialties & licenses 3

Addresses

Other names 1

• OUTPATIENT PHARMACY Doing business as

Locations

Practitioners 23

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.

• 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)

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long Beach Memorial Medical
• Long Beach Memorial Medical (Miller Children's Hospital)
• Long Beach Memorial Medical (Children's Village Pharmacy)
• Long Beach Memorial Medical (Community Hospital Long Beach)
• Long Beach Memorial Medical (Community Hospital Long Beach)
• Long Beach Memorial Medical
• Long Beach Memorial Medical (Homecare Pharmacy)
• Long Beach Memorial Medical Center
• Long Beach Memorial Medical Center
• Long Beach Memorial Medical Center (Memorial Occupational Medical Services)

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• 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.