Long Beach Medispa Management, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G73514 Issued in CA

Legal business name

LONG BEACH MEDISPA MANAGEMENT, INC.

Practice address

2370 Long Beach Blvd
Long Beach, CA 90806-3260

Phone

(562) 612-0950

NPI assigned

Jul 17, 2015

Organization subpart

Yes

Parent organization

LONG BEACH MEDISPA MANAGEMENT, INC.As reported in NPPES

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

Authorized official

Name

David S Silver, M.D.

Title

Physician

Phone

(562) 612-0950

Specialties & licenses 1

Addresses

Part of

Long Beach Medispa Management Inc

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1932583085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "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": "562-612-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEDISPA MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG BEACH MEDISPA MANAGEMENT, INC.",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "562-612-0950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G73514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Non-Pharmacy Dispensing Site in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.