Memorial Orthopaedic Surgical Group
NPI 1255414546ActiveOrganization· Specialist· Long Beach, CA
Specialist in Long Beach, California, registered in NPPES in October 2006. The authorized official on file is Lianne L. Prum, Practice Administrator. Enrolled in Medicare as dme supplier - physician - unknown physician specialty and part b supplier - clinic/group practice.
Overview
| NPI | 1255414546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Unknown Physician Specialty (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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