Provider Type Icon

LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP NPI 1982619680


NPI Information

NPI: 1982619680
Provider Name: LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-0300
Get Directions

LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LONG BEACH RADIATION ONCOLOGY MEDICAL GROUP NPI is 1982619680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806-701
Phone: (562) 933-0300
Fax: (562) 933-0301

The provider's authorized official is Syed Ziaulla .
The authorized official title is Administrator and has the following contact phone number (562) 492-6695.

The enumeration date for this NPI number is 7/30/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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
1ZZZ96707ZOTHERBLUE SHIELD
2GR0047850MEDICAIDCALIFORNIA

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: 11/14/2023

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.