Healthcare Provider Details

I. General information

NPI: 1992070064
Provider Name (Legal Business Name): LPMI LONG BEACH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 E WILLOW ST
SIGNAL HILL CA
90755-2217
US

IV. Provider business mailing address

2708 E WILLOW ST
SIGNAL HILL CA
90755-2217
US

V. Phone/Fax

Practice location:
  • Phone: 562-216-5120
  • Fax: 562-733-5880
Mailing address:
  • Phone: 562-216-5120
  • Fax: 562-733-5880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberFAC00062363
License Number StateCA

VIII. Authorized Official

Name: DR. JAMES L. AMSTER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 562-216-5120