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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2158354 | 01 |
Other Name | Type Code |
---|---|
Todd Cancer Pavilion Pharmacy | Doing Business As Name - Organization |
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 |
Street Address |
2810 LONG BEACH BLVD |
City | LONG BEACH |
State | CA |
Zip Code | 90806-1558 |
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 |
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 |
Find all providers in zip 90806 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
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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1922611920 | Scripps Health | Pharmacy | 550 Washington St Ste 110, San Diego, CA 92103-2213 | 2020-08-28 |
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 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90806 |
Please comment or provide details below to improve the information on LONG BEACH MEMORIAL MEDICAL.
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.