MEDICARE: THE HOSPITALIST GROUP, LLC

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	208M00000X	Hospitalist Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1972152072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOSPITALIST GROUP, LLC

Provider Business Mailing Address
First Line	:	5150 E PACIFIC COAST HWY STE 500
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3328
Country	:	US
Telephone Number	:	800-804-7996
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 E PACIFIC COAST HWY STE 500
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3328
Country	:	US
Telephone Number	:	800-804-7996
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PEI LILY MULROY
Credential	:	MD
Telephone Number	:	800-804-7996

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	09/10/2019

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Directions to “THE HOSPITALIST GROUP, LLC ” Practice Location

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