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BEACH PHYSICIANS MEDICAL GROUP INC NPI 1366439200


NPI Information

NPI: 1366439200
Provider Name: BEACH PHYSICIANS MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0577401

Address:
17742 BEACH BLVD
STE 215
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 848-1655
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BEACH PHYSICIANS MEDICAL GROUP INC is a family medicine in Huntington Beach, CA. The provider is 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. BEACH PHYSICIANS MEDICAL GROUP INC NPI is 1366439200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17742 BEACH BLVD
STE 215
HUNTINGTON BEACH, CA
ZIP 92647-818
Phone: (714) 848-1655
Fax: (714) 847-4348

The provider's authorized official is Arnold J Brender .
The authorized official title is President and has the following contact phone number (714) 848-1655.

The CLIA number assigned to this NPI record is 05D0577401 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 1/5/2010.


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
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16953MEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.