MEDICARE: PATRICK J CAHILL M.D.

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	174400000X	Specialist	A30540	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HW8412A	OTHER	CA	PTAN/LEGACY PACIFIC HOSP
2	HW881	OTHER	CA	ST MARYS PTAN
3	HW8412B	OTHER	CA	PTAN/LEGACY COMMUNITY HOSP
4	HW8412	OTHER	CA	GROUP PTAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003855958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK J CAHILL M.D.

Provider Business Mailing Address
First Line	:	1040 ELM AVE
Second Line	:	SUITE 102
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3264
Country	:	US
Telephone Number	:	562-437-3833
Fax Number	:	562-624-0741

Provider Business Practice Location Address
First Line	:	1040 ELM AVE
Second Line	:	SUITE 102
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3264
Country	:	US
Telephone Number	:	562-437-3833
Fax Number	:	562-624-0741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/27/2010

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Directions to “ PATRICK J CAHILL M.D.” Practice Location

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