Long Beach Obstetrics Gynecology Medical Group Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LONG BEACH OBSTETRICS GYNECOLOGY MEDICAL GROUP INC

Practice address

2840 Long Beach Blvd Ste 230
Long Beach, CA 90806-1575

Phone

(562) 595-1961

NPI assigned

Oct 24, 2007

Last updated

May 26, 2015By 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

Dara France

Title

Manager

Phone

(562) 595-1961

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.

• Nancy Fiduk, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Long Beach, CA
  • NPI 1609994771
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1942489190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH #230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD STE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061575",
            "telephone_number": "562-595-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH OBSTETRICS GYNECOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "FRANCE",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-595-1961"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Memorial Pathology Medical Group Inc.
• Long Beach Memorial Pathology Medical Group Inc.
• Long Beach Memorial Pathology Medical Group, Inc.
• Long Beach Miller Children's Hospital
• Long Beach Neurological Medical Group, Inc.
• Long Beach Optometric Group Inc.
• Long Beach Orthodontics
• Long Beach Out PT Surgery Center
• Long Beach Pain Center & Medical Clinic
• Long Beach Post Acute LLC (Long Beach Post Acute)

• Obstetrics & Gynecology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.