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BEACH CITIES ORTHOPEDICS SURGERY CENTER LLC NPI 1336669456


NPI Information

NPI: 1336669456
Provider Name: BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 05D2136153

Address:
400 S SEPULVEDA BLVD STE 110
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 546-3461
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BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC is a sports medicine orthopaedic surgery in Manhattan Beach, CA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC NPI is 1336669456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 S SEPULVEDA BLVD STE 110
MANHATTAN BEACH, CA
ZIP 90266-814
Phone: (310) 546-3461
Fax: (310) 546-6481

The provider's authorized official is Bradley M Thomas .
The authorized official title is Medical Director and has the following contact phone number (310) 546-3461.

The CLIA number assigned to this NPI record is 05D2136153 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2017 and was last updated on 6/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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