# PEDIATRIC PULMONARY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457456337
- **Authorized official:** DR. ELIEZER NUSSBAUM M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 933-8740

## Contact information

- **Practice address:** 2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
- **Practice address phone:** (562) 933-8740
- **Mailing address:** PO BOX 1307, LONG BEACH, CA 90801-1307
- **Mailing address phone:** (562) 933-8740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | A33717 | CA | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | A33717 | CA | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | A33717 | CA | — |
| 2080P0214X | Pediatric Pulmonology Physician | A33717 | CA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/09/2015