Memorial Maritime Clinic, Inc.

LBN: Memorial Maritime Clinic, Inc.
Memorial Maritime Clinic, Inc. is an health care organization with primary practice located at 150 S Pico Ave , Long Beach CA 90802. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Memorial Maritime Clinic, Inc. can be contacted via phone (562) 432-2820, or through Perez, Mark via phone (562) 432-2821.

Contact Information

Primary practice address
150 S Pico Ave Long Beach CA 90802
Phone: (562) 432-2820
Fax: (562) 437-1353
Website:
Map and Directions
Authorized official contact:
Name: Perez, Mark Doctor of Medicine (MD)
Phone: (562) 432-2821

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G067514 California

Profile Details

NPI number 1528122389
LBN Legal business name Memorial Maritime Clinic, Inc.
DBA Doing business as
Authorized official Perez, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1528122389 NPPES
California Other G67514 MED LICENSE
California Other 00G675140 MED LICENSE
California MEDICAID G00675140 MED LICENSE

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