Healthcare Provider Details

I. General information

NPI: 1699766501
Provider Name (Legal Business Name): HAROLD C OCHSNER JR. M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 E BIXBY RD
LONG BEACH CA
90807-4221
US

IV. Provider business mailing address

1203 E BIXBY RD
LONG BEACH CA
90807-4221
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-5533
  • Fax: 562-595-8822
Mailing address:
  • Phone: 562-426-5533
  • Fax: 562-595-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberC-28545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: