Infusion Care Pharmacy South

LBN: Long Beach Memorial Medical
Infusion Care Pharmacy South is an health care organization with primary practice located at 23521 Paseo De Valencia Ste B-1, Laguna Hills CA 92653. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Long Beach Memorial Medical can be contacted via phone (949) 460-1610, or through Finch, Chris via phone (714) 377-3218.

Contact Information

Primary practice address
23521 Paseo De Valencia Ste B-1 Laguna Hills CA 92653
Phone: (949) 460-1610
Fax: (949) 458-0554
Website:
Map and Directions
Authorized official contact:
Name: Finch, Chris
Phone: (714) 377-3218

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY40530 California

Profile Details

NPI number 1679677629
LBN Legal business name Long Beach Memorial Medical
DBA Doing business as Infusion Care Pharmacy South
Authorized official Finch, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679677629 NPPES
California MEDICAID PHA40530
California Other 1996335

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