Provider Demographics
NPI:1508938168
Name:MICHAEL B. STRAUSS, MD, INC.
Entity Type:Organization
Organization Name:MICHAEL B. STRAUSS, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-427-5823
Mailing Address - Street 1:5150 E. PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3328
Mailing Address - Country:US
Mailing Address - Phone:562-299-5239
Mailing Address - Fax:562-299-5294
Practice Address - Street 1:701 E. 28TH STREET
Practice Address - Street 2:SUITE 416
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2787
Practice Address - Country:US
Practice Address - Phone:562-427-5823
Practice Address - Fax:562-427-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207X00000X
CAG13753207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G137531Medicaid
CAA39080Medicare UPIN
CAW20243Medicare PIN