Healthcare Provider Details

I. General information

NPI: 1093342040
Provider Name (Legal Business Name): ARJUN GAURANG MERCHANT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 LONG BEACH BLVD STE 300
LONG BEACH CA
90807-2008
US

IV. Provider business mailing address

4300 LONG BEACH BLVD STE 300
LONG BEACH CA
90807-2008
US

V. Phone/Fax

Practice location:
  • Phone: 562-984-7024
  • Fax: 562-984-9477
Mailing address:
  • Phone: 562-984-7024
  • Fax: 562-984-9477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number2024019704
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: