MEMORIAL CARDIOLOGY MEDICAL GROUP, INC NPI 1023298312

Legal Medicine in Long Beach, CA

NPI 1023298312 Organization Legal Medicine

About MEMORIAL CARDIOLOGY MEDICAL GROUP, INC

Memorial Cardiology Medical Group, Inc is a provider established in Long Beach, California specializing in legal medicine. The NPI number of Memorial Cardiology Medical Group, Inc is 1023298312 and was assigned on November 2007. The practitioner's primary taxonomy code is 173000000X with license number BU95033110 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Memorial Cardiology Medical Group, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Serge M Tobias M.d. (President)

NPI

1023298312

Provider NameMEMORIAL CARDIOLOGY MEDICAL GROUP, INC
Provider Location Address2801 ATLANTIC AVE LONG BEACH, CA 90806
Provider Mailing Address2898 LINDEN AVE LONG BEACH, CA 90806
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-05-2007
Last Update Date10-05-2015


Primary Taxonomy

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
License No.BU95033110
License StateCA
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

MEMORIAL CARDIOLOGY MEDICAL GROUP, INC
2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-2000

Get Directions


Mailing Address

MEMORIAL CARDIOLOGY MEDICAL GROUP, INC
2898 LINDEN AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 595-8671
Fax: (562) 490-2015



Authorized Official

Authorized Official NameDR. SERGE M TOBIAS M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(562) 595-8671

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HW3230MEDICARE PIN (08)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013912054 RICHARD ERIC SWENSSON MD
Individual
Pediatrics (Pediatric Cardiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-3350
1356346035DR. JENNIFER LE PHARM.D.
Individual
Pharmacist2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-0286
1902888043 DIANNA CHOOLJIAN MD PHD MPH
Individual
Radiology (Neuroradiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1477535532 RICHARD Y CHAI MD
Individual
Radiology (Diagnostic Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1699757583 OZ H DROR MD
Individual
Radiology (Diagnostic Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1730161282 JUDITH J LABARBERA MD
Individual
Radiology (Nuclear Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1932181419 ANGELA C SIE MD
Individual
Radiology (Diagnostic Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1518949049 MICHAEL H WELLER MD
Individual
Radiology (Pediatric Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1891777280 CLYDE W SMITH MD
Individual
Radiology (Diagnostic Radiology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-1550
1245291723 MILTON ROLANDO DRACHENBERG M.D., PH.D.
Individual
Pathology (Hematology)2801 ATLANTIC AVE DEPARTMENT OF PATHOLOGY
LONG BEACH, CA 90806
(562) 933-0828
1346202868DR. MELVIN HOSHIKO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-0719
1760444731 KEVIN CHARLES O'BRIEN M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2801 ATLANTIC AVE 3RD FLOOR
LONG BEACH, CA 90806
(562) 933-8743
1043276264DR. GLORIA MARY BERTUCCI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2801 ATLANTIC AVE DEPARTMENT OF PATHOLOGY
LONG BEACH, CA 90806
(562) 933-0715
1346207180 SAVITA GUPTA RIES M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2801 ATLANTIC AVE DEPARTMENT OF PATHOLOGY
LONG BEACH, CA 90806
(562) 933-0727
1710943733MR. TANATE VACHIRA PA-C
Individual
Physician Assistant2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-2000
1912964552DR. EMANUEL THOMAS FERRO M.D. ,PHD, D.V.M.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2801 ATLANTIC AVE DEPARTMANT OF PATHOLOGY
LONG BEACH, CA 90806
(562) 933-0829
1316905235 LISA SHANE I M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-0713
1275584112DR. ALAN J LEWIS M.D.
Individual
Emergency Medicine2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-3136
1053366443 DANA K CHAPIN PA
Individual
Physician Assistant2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-2000
1700831153 ALICE T BALDWIN PA
Individual
Physician Assistant2801 ATLANTIC AVE
LONG BEACH, CA 90806
(562) 933-2000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.