{"npi":"1255414546","type":"NPI-2","status":"active","name":{"display":"Memorial Orthopaedic Surgical Group","other":[],"organization_name":"MEMORIAL ORTHOPAEDIC SURGICAL GROUP","authorised_official":"Lianne Prum"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2760 ATLANTIC AVE","city":"LONG BEACH","state":"CA","postal_code":"908062755","country_code":"US","phone":"5624246666","fax":"5624247122"},{"purpose":"MAILING","street_1":"2760 ATLANTIC AVE","city":"LONG BEACH","state":"CA","postal_code":"908062755","country_code":"US","phone":"5624246666","fax":"5624247122"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040511001062","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"7911996202"},{"enrlmt_id":"O20101108001364","type_code":"30-99","type_desc":"DME SUPPLIER - PHYSICIAN - UNKNOWN PHYSICIAN SPECIALTY","state":"CA","pac_id":"7911996202"}]},"enumeration_date":"2006-10-23","last_updated":"2024-09-12","_meta":{"source":"NPPES","snapshot_date":"2024-09-12","doc_url":"https://findmynpi.com/api"}}