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GREEN STUART & MARINOW HARRY & BONFILIO NICHOLAS & FEIWELL LAWRENC NPI 1467524652


NPI Information

NPI: 1467524652
Provider Name: GREEN, STUART & MARINOW, HARRY & BONFILIO, NICHOLAS & FEIWELL, LAWRENC

Doing Business As: GREATER LONG BEACH ORTHOPAEDIC SURGICAL & MEDICAL GROUP A PTRSHP

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D0700642

Address:
1040 ELM AVE
SUITE 100
LONG BEACH, CA
ZIP 90813
Phone: (562) 591-4444
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GREEN, STUART & MARINOW, HARRY & BONFILIO, NICHOLAS & FEIWELL, LAWRENC is an orthopaedic surgery in Long Beach, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. GREEN, STUART & MARINOW, HARRY & BONFILIO, NICHOLAS & FEIWELL, LAWRENC NPI is 1467524652. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greater Long Beach Orthopaedic Surgical & Medical Group A Ptrshp.

The provider's business location address is:

1040 ELM AVE
SUITE 100
LONG BEACH, CA
ZIP 90813-264
Phone: (562) 591-4444
Fax: (562) 436-7350

The provider's authorized official is Duke Ahn .
The authorized official title is Managing Partner and has the following contact phone number (562) 430-3561.

The CLIA number assigned to this NPI record is 05D0700642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 5/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0066741OTHERCALIFORNIAMEDI-CAL GROUP NUMBER
2W13148BOTHEROTHER PTAN
3ZZZ53510ZOTHERCALIFORNIABLUE SHIELD PIN#
40226020002MEDICARE NSCCALIFORNIA
5W13148AOTHERPTAN
6GR0066740MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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