MEDICARE: MEMORIALCARELONG BEACH MEDICAL CENTER

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	3336I0012X	Institutional Pharmacy

General Provider Information

NPI Number	:	1235062969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMORIALCARELONG BEACH MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1701
Country	:	US
Telephone Number	:	562-933-2326
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1701
Country	:	US
Telephone Number	:	562-933-2326
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST CLIN SPECIALIST
Name	:	KIANA HOC
Credential	:	PHARMD
Telephone Number	:	562-933-2326

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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