CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION


Address: 2777 Pacific Ave, Ste K, Long Beach, CA 90806-2625
Phone: 5629895712

CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION (NPI# 1164713590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164713590
Entity Type Organization
Organization Name CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Practice Address 2777 Pacific Ave
Ste K
Long Beach
CA 90806-2625
Mailing Address 2980 N Beverly Glen Cir
Suite 100
Los Angeles
CA 90077-1726
Practice Telephone 5629895712
Mailing Telephone 3104749809
Mailing Fax Number 8884318819
Enumeration Date 2011-04-19
Last Update Date 2015-10-05
Authorized Official Name HERBERT MARSHAK (MEDICAL DIRECTOR)
Authorized Official Telephone 5629895712
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144525775 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 3211 Van Buren Blvd Ste B, Riverside, CA 92503-5640 2011-01-12
1639460066 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1902 Royalty Dr, Ste 290, Pomona, CA 91767-3030 2011-04-19
1386935716 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 2011-04-19
1417248840 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 8121 Van Nuys Blvd, Ste 316, Panorama City, CA 91402-5105 2011-04-19
1871884205 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1711 W Temple St, Ste 4100, Los Angeles, CA 90026-5421 2011-04-19

Office Location

Street Address 2777 PACIFIC AVE
STE K
City LONG BEACH
State CA
Zip Code 90806-2625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336100759 La Good Samaritan Pathology Medical Group, Inc. Clinical Medical Laboratory 2777 Pacific Ave, Suite H201& I202, Long Beach, CA 90806-2625 2006-03-28
1295151553 John Arthur Engelman Chiropractor 2777 Pacific Ave, B, Long Beach, CA 90806-2625 2014-03-11
1073888426 Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp Non-Pharmacy Dispensing Site 2777 Pacific Ave, Suite K, Long Beach, CA 90806-2625 2012-03-19
1780982017 My Pediatric Medical Clinic Inc Pediatrics 2777 Pacific Ave, Suite 209, Long Beach, CA 90806-2625 2011-03-10
1710297262 Sanchez Long Beach Clinic Inc Family Medicine 2777 Pacific Ave, Suite 203, Long Beach, CA 90806-2625 2010-10-18
1164748513 A.n.a. Medical Associates Inc Family Medicine 2777 Pacific Ave, Suite N, Long Beach, CA 90806-2625 2010-04-09
1740515121 Imperial Clinic Chiropractor 2777 Pacific Ave, Suite. B, Long Beach, CA 90806-2625 2009-10-02
1669592929 Eui Soo Kim Acupuncturist 2777 Pacific Ave, B, Long Beach, CA 90806-2625 2007-03-30
1316061336 Krishna N. Manvi, M.d., Inc. Internal Medicine 2777 Pacific Ave, Suite D, Long Beach, CA 90806-2625 2007-03-16
1710045893 Hanan N Haman Pediatrics 2777 Pacific Ave, Suite 209, Long Beach, CA 90806-2625 2006-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437624913 Blanca C Gonzalez Community Health Worker 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 2018-10-10
1780192740 New Healthcare Supplies Inc Durable Medical Equipment & Medical Supplies 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 2018-01-11
1265946586 California Sleep Neurology Organization for Wellness Clinic/Center 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 2017-11-22
1053820613 Magnolia Cedeno-moreno Counselor 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 2017-09-27
1144747569 Kimberly Savanannah Rodriguez Social Worker 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 2017-08-25
1194257170 Sarah Mahmood Pediatrics The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 2017-03-29
1801334784 Denise Harbor Student in an Organized Health Care Education/Training Program 721 East 28th Street, Suite 401, Long Beach, CA 90806 2017-02-10
1083152839 Kim Vu Student in an Organized Health Care Education/Training Program 701 East 28th Street Ste. 416, Long Beach, CA 90806 2017-02-01
1568910719 Andrea Corona Community Health Worker 850 W Wardlow Rd, Long Beach, CA 90806 2016-09-16
1235589110 Sarah Keihany-yazdy Nurse Practitioner 2000 San Gabriel Ave, Long Beach, CA 90806 2016-06-21
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023487634 Kim Foot and Ankle Medical Centers of Long Beach, Inc Non-Pharmacy Dispensing Site 701 E 28th St Ste 111, Long Beach, CA 90806-2715 2015-09-24
1952780124 R Roland Lopez, M.d., Inc. Non-Pharmacy Dispensing Site 821 Pacific Ave, Long Beach, CA 90813-4225 2015-05-21
1265836738 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 1627 E Anaheim St, Long Beach, CA 90813-3809 2014-10-13
1275792657 Health Care Partners, Inc. Non-Pharmacy Dispensing Site 3932 Long Beach Blvd, B, Long Beach, CA 90807-2615 2008-06-02
1861032708 K Wellness Medical Center Corporation Non-Pharmacy Dispensing Site 701 E 28th St Ste 100, Long Beach, CA 90806-2769 2020-01-08
1215579222 Advanced Community Medical Care Corp Non-Pharmacy Dispensing Site 701 E 28th St Ste 100, Long Beach, CA 90806-2769 2019-10-10
1811442601 Complete Women Care Non-Pharmacy Dispensing Site 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 2016-08-22
1407213507 Advanced Foot and Ankle Center, Inc. Non-Pharmacy Dispensing Site 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1516 2016-01-20
1851769012 Justice Rx Group, LLC Non-Pharmacy Dispensing Site 2370 Long Beach Blvd, Long Beach, CA 90806-3260 2015-09-04
1932583085 Long Beach Medispa Management, Inc. Non-Pharmacy Dispensing Site 2370 Long Beach Blvd, Long Beach, CA 90806-3260 2015-07-17
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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