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Long Beach Memorial Pathology Medical Group, Inc.

Anatomic Pathology & Clinical Pathology Physician in Long Beach, CA · enumerated 2006 · authorized official Lisa Shane, Vice Pres. Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942257191

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Registry record

Entity type Organization (Type 2)
Legal business name Long Beach Memorial Pathology Medical Group, Inc.
Practice address 2801 Atlantic Ave, Department of Pathology, Long Beach, CA, 90806
Fax (562) 933-0791
Enumeration date May 30, 2006
Last updated in NPPES Dec 3, 2014

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lisa Shane
Title Vice Pres. Treasurer

Other identifiers

Identifier Type State Issuer
GR0049700 Medicaid CA -
ZZZ05043Z Other CA BLUE SHIELD
ZZZ96712Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-03. Verify at npiregistry.cms.hhs.gov.
Where is Long Beach Memorial Pathology Medical Group, Inc. located?
The practice location on file with NPPES is in Long Beach, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-03.