MEMRAD MEDICAL GROUP INC NPI 1831173905

NPI Information

NPI: 1831173905
Provider Name: MEMRAD MEDICAL GROUP INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
100 OCEANGATE
STE 1000
LONG BEACH, CA
ZIP 90802
Phone: (562) 590-7400
Get Directions

MEMRAD MEDICAL GROUP INC is a radiology clinic center in Long Beach, CA. MEMRAD MEDICAL GROUP INC NPI is 1831173905. The provider is registered as an organization entity type.

The provider's business location address is:

100 OCEANGATE
STE 1000
LONG BEACH, CA
ZIP 90802
Phone: (562) 590-7400

The provider's authorized official is Maureen Brooks .
The authorized official title is Vice President, Operations and has the following contact phone number (562) 590-7400.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	ZZZ74966Z	OTHER	MEDI-CAL
2	ZZZ27107Z	OTHER	BLUE SHIELD
3	GR0023357	OTHER	MEDI-CAL
4	GR0023358	OTHER	MEDI-CAL
5	GR0023355	OTHER	MEDI-CAL
6	GR0023352	OTHER	MEDI-CAL
7	ZZZ77516Z	OTHER	MEDI-CAL
8	GR0023356	OTHER	MEDI-CAL
9	GR0023359	OTHER	MEDI-CAL
10	GR0023351	OTHER	MEDI-CAL

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »