Healthcare Provider Details

I. General information

NPI: 1215398755
Provider Name (Legal Business Name): LONG BEACH MEMORIAL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2016
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 LONG BEACH BLVD
LONG BEACH CA
90806-1558
US

IV. Provider business mailing address

450 E SPRING ST STE 11
LONG BEACH CA
90806-1625
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-1844
  • Fax: 562-933-1869
Mailing address:
  • Phone: 562-933-2273
  • Fax: 562-933-2907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number53582
License Number StateCA

VIII. Authorized Official

Name: CHRIS FINCH
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 714-377-3218