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ST. MARY MEDICAL CENTER NPI 1285007419


NPI Information

NPI: 1285007419
Provider Name: ST. MARY MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1045 ATLANTIC AVE
SUITE 914
LONG BEACH, CA
ZIP 90813
Phone: (562) 624-4977
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ST. MARY MEDICAL CENTER is a clinic center in Long Beach, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST. MARY MEDICAL CENTER NPI is 1285007419. The provider is registered as an organization entity type.

The provider's business location address is:

1045 ATLANTIC AVE
SUITE 914
LONG BEACH, CA
ZIP 90813-408
Phone: (562) 624-4977

The provider's authorized official is Marica Alcouloumre .
The authorized official title is Medical Director and has the following contact phone number (562) 624-4900.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 11/10/2015.


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
1261Q00000XClinic/CenterCALIFORNIAYes

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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