MILLER CHILDREN'S HOSPITAL NPI 1053721878

NPI Information

MILLER CHILDREN'S HOSPITAL is a children general acute care hospital in Long Beach, CA. MILLER CHILDREN'S HOSPITAL NPI is 1053721878. The provider is registered as an organization entity type.

The provider's business location address is:

1760 TERMINO AVE
LONG BEACH, CA
ZIP 90804-105
Phone: (562) 933-3009
Fax: (562) 933-8557

The provider's authorized official is Tammy Tran .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (562) 933-3009.

The CLIA number assigned to this NPI record is 05D1041357 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2014 and was last updated on 5/1/2014.

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:

Other Identifiers

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