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MEMORIAL ORTHOPAEDIC SURGICAL GROUP
NPI 1255414546
Specialist in Long Beach, CA

Active since October 23, 2006CLIA 05D1020073 · Waiver
2760 ATLANTIC AVE, LONG BEACH, CA 90806(562) 424-6666(562) 424-7122 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Orthopaedic Surgical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL ORTHOPAEDIC SURGICAL GROUP (NPI 1255414546) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Lianne L Prum, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1255414546
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEMORIAL ORTHOPAEDIC SURGICAL GROUP
Location Address2760 ATLANTIC AVELong Beach, CA 90806-2755
Mailing Address2760 Atlantic AveLong Beach, CA 90806-2755 · (562) 424-6666 · Fax (562) 424-7122
Phone(562) 424-6666
Fax(562) 424-7122
Organization SubpartNo
Authorized OfficialLianne L PrumPractice Administrator · (562) 424-6666
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1255414546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2760 ATLANTIC AVE, Long Beach, CA 90806
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Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1020073

Memorial Orthopaedic Surgicl Group · Long Beach, CA
Active · expires Dec 9, 2027
CLIA Number05D1020073
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorPeter Kurzwell
Laboratory Phone(562) 424-6666
Laboratory LocationMemorial Orthopaedic Surgicl Group2760 Atlantic Avenue, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELYSSA LYNN ENGSTROM
Health Educator
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
MIA F NGUYEN PT, DPT
Physical Therapist
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
JAMES BRANDEN GILMER D.P.T.
Physical Therapist
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
LEO ZALIKHA MD
Orthopaedic Surgery
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
DAVID S MORRISON M.D.
Specialist
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
DOUGLAS W JACKSON M.D.
Specialist
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666
MISS MARIE FERNANDEZ PT, DPT
Physical Therapist (Orthopedic)
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-5198
ERIC D FELDMAN M.D.
Specialist
2760 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Orthopaedic Surgical Group's NPI number?

The NPI number for Memorial Orthopaedic Surgical Group is 1255414546. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Memorial Orthopaedic Surgical Group located?

Memorial Orthopaedic Surgical Group is located at 2760 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 424-6666.

What is Memorial Orthopaedic Surgical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Memorial Orthopaedic Surgical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1020073) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Orthopaedic Surgical Group accept?

Health plans from Avera Health Plans list Memorial Orthopaedic Surgical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Orthopaedic Surgical Group was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.