05D0577401 CLIA NUMBER - BEACH PHYSICIANS MEDICAL GROUP, INC

Laboratory Demographics

CLIA Number: 05D0577401

Facility Name: BEACH PHYSICIANS MEDICAL GROUP, INC

Facility Address:
17742 BEACH BOULEVARD #215
HUNTINGTON BEACH, CA
ZIP 92647
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Facility Phone Number: (714) 848-1655

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1366439200

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0577401
LAB Type	PHYSICIAN OFFICE
Facility Name	BEACH PHYSICIANS MEDICAL GROUP, INC
Street	17742 BEACH BOULEVARD #215
City	HUNTINGTON BEACH
State	CA
ZIP	92647
Phone	(714) 848-1655

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This page was last updated on: 1/7/2022