Organization · NPI-2

Beach Pro Physical Medicine, INC

Physical Medicine & Rehabilitation · Huntington Beach, CA

NPI number1447861653
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1447861653
Entity type
Organization (NPI-2)
Legal business name
Beach Pro Physical Medicine, INC
Organization subpart
No
Enumeration date
Aug 11, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

8941 Adams Ave
Huntington Beach, CA 92646-3330

Phone 714-962-8818 · Fax 714-962-8819

Mailing address

8941 Adams Ave
Huntington Beach, CA 92646-3330

Phone 714-962-8818 · Fax 714-962-8819

Authorized official

Jacquelyn Sammons
President
7149628818

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