Beach Physicians Medical Group INC
Family Medicine in Huntington Beach, CA. Organization (NPI-2).
NPI number1366439200
StatusActive
Last updated in NPPESJan 5, 2010
Details
- NPI
- 1366439200
- Entity type
- Organization (NPI-2)
- Legal business name
- Beach Physicians Medical Group INC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2005
- Last updated
- Jan 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208D00000X | General Practice | – | – |
Practice location
17742 Beach BlvdSte 215
Huntington Beach, CA 92647-6818
Phone 714-848-1655 · Fax 714-847-4348
Mailing address
17742 Beach BlvdSte 215
Huntington Beach, CA 92647-6818
Phone 714-848-1655 · Fax 714-847-4348
Authorized official
Arnold J Brender
President
7148481655
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