Albert A Petrossian, M.D.

Urology in Long Beach, CA. Individual provider (NPI-1).

NPI number1003136565

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1003136565
Entity type: Individual (NPI-1)
Name: Albert A Petrossian
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 8, 2010
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - UROLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208800000X	Urology	A136810	CA	Yes
208800000X	Urology	136810	CA
390200000X	Student in an Organized Health Care Education/Training Program	0116022439	VA

Practice location

6226 E Spring St Ste 260
Long Beach, CA 90815-1454

Phone 562-283-4876 · Fax 562-731-2926

Mailing address

6226 E Spring St Ste 260
Long Beach, CA 90815-1454

Phone 562-283-4876 · Fax 562-731-2926

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Other Urology Physician providers in Long Beach, CA

All 14 Urology Physician providers in Long Beach · All 16,615 providers in Long Beach

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