SEAL BEACH FAMILY MEDICAL GROUP INC. NPI 1538311063

NPI Information

  • NPI: 1538311063
  • Provider Name: SEAL BEACH FAMILY MEDICAL GROUP, INC.
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: SEAL BEACH FAMILY MEDICAL GROUP
  • Address: 1198 PACIFIC COAST HWY
    SEAL BEACH, CA
    ZIP 90740
  • Phone: (562) 598-5474

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NPI Details

SEAL BEACH FAMILY MEDICAL GROUP, INC. is a non pharmacy dispensing site in Seal Beach, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SEAL BEACH FAMILY MEDICAL GROUP, INC. NPI is 1538311063. The provider is registered as an organization entity type.
The provider Is Doing Business As Seal Beach Family Medical Group.

The provider's business location address is:

1198 PACIFIC COAST HWY
SEAL BEACH, CA
ZIP 90740-251
Phone: (562) 598-5474

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/23/2012.

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 License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteA36955CALIFORNIAYes

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: 3/30/2025

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