MEDICARE: LONG BEACH ADVANCED ORTHOPEDIC MEDICAL CENTER INC

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	207X00000X	Orthopaedic Surgery Physician		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114927860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG BEACH ADVANCED ORTHOPEDIC MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1760 TERMINO AVE
Second Line	:	208
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2105
Country	:	US
Telephone Number	:	562-961-5655
Fax Number	:	562-961-8836

Provider Business Practice Location Address
First Line	:	1760 TERMINO AVE
Second Line	:	208
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2105
Country	:	US
Telephone Number	:	562-961-5655
Fax Number	:	562-961-8836

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHILIP E HILL
Credential	:	M.D.
Telephone Number	:	562-961-5655

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/21/2022

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1770583429 — DR. PHILIP E HILL M.D.
Practice Location Address:

1760 TERMINO AVE , 208
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1164401782 — RICHARD L BELL D.P.M.
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1861436891 — TORIN J CUNNINGHAM M.D.
Practice Location Address:

1760 TERMINO AVE , 308
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Practice Fax: 562-933-3747

1194732347 — NICHOLAS SUNG-CHOON LEE M.D.
Practice Location Address:

1760 TERMINO AVE , SUITE 200
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Practice Location Address:

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1265531172 — DR. MICHAEL EDMOND LIEPPMAN M.D.
Practice Location Address:

1760 TERMINO AVE , #107
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90804-2105

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