BEACH FAMILY DOCTORS MEDICAL GROUP NPI 1538110465

NPI Information

NPI: 1538110465
Provider Name: BEACH FAMILY DOCTORS MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2214583

Address:
2001 WESTCLIFF DR STE 200
NEWPORT BEACH, CA
ZIP 92660
Phone: (714) 845-5900
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BEACH FAMILY DOCTORS MEDICAL GROUP is a multi-specialty clinic center in Newport Beach, CA. BEACH FAMILY DOCTORS MEDICAL GROUP NPI is 1538110465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 WESTCLIFF DR STE 200
NEWPORT BEACH, CA
ZIP 92660-552
Phone: (714) 845-5900
Fax: (714) 845-5920

The provider's authorized official is Julia Harris .
The authorized official title is Partner and has the following contact phone number (714) 845-5900.

The CLIA number assigned to this NPI record is 05D2214583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 11/24/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QM1300X	Clinic/Center	Multi-Specialty	Yes
3	363A00000X	Physician Assistant		No
4	363LF0000X	Nurse Practitioner	Family	No

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: 5/5/2024

NPI Synchronization or Removal

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