# LONG BEACH MILLER CHILDREN'S HOSPITAL

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

## Provider details

- **NPI number:** 1487015905
- **Authorized official:** DR. LISA ANNE FASNACHT-HILL PHD (NEUROPSYCHOLOGIST)
- **Authorized official phone:** (714) 345-5651

## Contact information

- **Practice address:** 2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
- **Practice address phone:** (562) 933-8832
- **Mailing address:** 2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
- **Mailing address phone:** (562) 933-8832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | PSY18861 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/10/2016