LONG BEACH MEMORIAL MEDICAL


Address: 2810 Long Beach Blvd, Long Beach, CA 90806-1558
Phone: 5629331844

LONG BEACH MEMORIAL MEDICAL (NPI# 1215398755) 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) 1215398755
Entity Type Organization
Organization Name LONG BEACH MEMORIAL MEDICAL
Other Organization Name TODD CANCER PAVILION PHARMACY
Practice Address 2810 Long Beach Blvd
Long Beach
CA 90806-1558
Mailing Address 450 E Spring St Ste 11
Long Beach
CA 90806-1625
Practice Telephone 5629331844
Practice Fax Number 5629331869
Mailing Telephone 5629332273
Mailing Fax Number 5629332907
Enumeration Date 2016-03-11
Last Update Date 2018-11-28
Authorized Official Name CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 7143773218
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers
N 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
53582 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2158354 01

Other Provider/Organization Names

Other Name Type Code
Todd Cancer Pavilion Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609473438 Long Beach Memorial Medical Pharmacy 2701 Atlantic Ave Ste 100, Long Beach, CA 90806-2701 2020-10-05
1477036382 Long Beach Memorial Medical Clinic/Center 2801 Atlantic Ave, Long Beach, CA 90806-1701 2018-09-07
1053653782 Long Beach Memorial Medical Durable Medical Equipment & Medical Supplies 455 E Columbia St, Long Beach, CA 90806 2013-03-20
1699068940 Long Beach Memorial Medical Psychiatric Unit 1720 Termino Ave, Long Beach, CA 90804-2104 2011-05-19
1720371065 Long Beach Memorial Medical General Acute Care Hospital 1720 Termino Ave, Long Beach, CA 90804 2011-05-19
1891890158 Long Beach Memorial Medical Pharmacy 2801 Atlantic Ave, Long Beach, CA 90806 2006-09-13
1679677629 Long Beach Memorial Medical Durable Medical Equipment & Medical Supplies 23521 Paseo De Valencia, Ste B-1, Laguna Hills, CA 92653 2006-09-12
1003829722 Long Beach Memorial Medical Pharmacy 2801 Atlantic Ave, Long Beach, CA 90806 2006-08-14
1972514503 Long Beach Memorial Medical Pharmacy 450 E Spring St, Ste 11, Long Beach, CA 90806 2006-08-10
1477596583 Long Beach Memorial Medical General Acute Care Hospital 2801 Atlantic Ave, Long Beach, CA 90806 2006-06-14

Office Location

Street Address 2810 LONG BEACH BLVD
City LONG BEACH
State CA
Zip Code 90806-1558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912967324 Jonathan B. Blitzer Specialist 2810 Long Beach Blvd, Long Beach, CA 90806-1558 2006-03-28
1861973034 Jamie Marie Balderas Nurse Practitioner 2810 Long Beach Blvd, Long Beach, CA 90806-1558 2018-08-27
1306369988 Molly Kathleen Lehman Genetic Counselor, MS 2810 Long Beach Blvd, Long Beach, CA 90806-1558 2017-07-25
1952823460 Karen Lappen Genetic Counselor, MS 2810 Long Beach Blvd, Cancer Risk and Prevention, Long Beach, CA 90806 2017-07-17
1396294286 Ob/gyn University Associates - Todd Cancer Institute Pavilion Long Bea Clinic/Center 2810 Long Beach Blvd, Long Beach, CA 90806-1558 2016-10-03
1902262744 Deneen Boyce Nurse Practitioner 2810 Long Beach Blvd, Long Beach, CA 90806-1558 2016-01-09

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 3336S0011X
Grouping Suppliers
Classification Pharmacy
Specialization Specialty Pharmacy

Taxonomy Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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]

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1073149514 Shri Hari Rx Inc Pharmacy 2079 Compton Ave Ste 105, Corona, CA 92881-3312 2020-03-17
1245873991 Express Drugs Pharmacy 9902 Brimhall Rd # 100, Bakersfield, CA 93312-2801 2019-10-25
1366001653 Precise Healthcare Inc Pharmacy 17500 Foothill Blvd Ste A-7a, Fontana, CA 92335-3736 2019-06-10
1013418862 Pharmedquest Pharmacy Services Pharmacy 330 E Lambert Rd Ste 120, Brea, CA 92821-4100 2018-02-27
1295248524 Nyrali LLC Pharmacy 5541 Van Buren Blvd, Riverside, CA 92503-2068 2017-11-08
1144746348 Goose Pharma, LLC Pharmacy 18049 Magnolia Street, Fountain Valley, CA 92708 2017-08-18
1699227983 Landmark Pharma Inc Pharmacy 1113 Alta Ave Ste 100, Upland, CA 91786-2804 2016-11-02
1548713050 Profusion LLC Pharmacy 7250 Engineer Rd Ste D, San Diego, CA 92111-1420 2016-08-02
1659824837 Borrego Community Health Foundation Pharmacy 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 2016-07-25
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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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