| Pacific Hospital Of Long Beach | |
|
2776 Pacific Ave Long Beach CA 90806-2613 | |
| (562) 595-1911 | |
| Not Available |
| Full Name | Pacific Hospital Of Long Beach |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2776 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | James Canedo (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5629972414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Hospital Of Long Beach 2776 Pacific Ave Long Beach CA 90806-2613 Ph: (562) 595-1911 | Pacific Hospital Of Long Beach 2776 Pacific Ave Long Beach CA 90806-2613 Ph: (562) 595-1911 |
| NPI Number | 1861407637 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861407637 | NPI | - | NPPES |
| ZZT30277G | Medicaid | CA | |
| HSD30277G | Medicaid | CA | |
| HSM30277G | Medicaid | CA | |
| HSC30277G | Medicaid | CA | |
| LTC55264F | Medicaid | CA | |
| LTC70011F | Medicaid | CA | |
| 213381100 | Other | CA | US DEPT OF LABOR |
| ZZT40277G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 930000117 (California) | Secondary |
| 282N00000X | General Acute Care Hospital | 930000117 (California) | Primary |
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