MEDICARE: DR. HAROLD C OCHSNER JR. M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	C-28545	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C-28545	OTHER	CA	STATE LICENCE

General Provider Information

NPI Number	:	1699766501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD C OCHSNER JR. M.D

Provider Business Mailing Address
First Line	:	1203 E BIXBY RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4221
Country	:	US
Telephone Number	:	562-426-5533
Fax Number	:	562-595-8822

Provider Business Practice Location Address
First Line	:	1203 E BIXBY RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4221
Country	:	US
Telephone Number	:	562-426-5533
Fax Number	:	562-595-8822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	03/07/2023

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