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NPI Code Detail

MEDICARE: BEACH CITY WELLNESS, INC.

MEDICARE: BEACH CITY WELLNESS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1326812280
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACH CITY WELLNESS, INC.
Provider Business Mailing Address
First Line : 1633 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-1929
Country : US
Telephone Number : 562-800-5520
Fax Number :
Provider Business Practice Location Address
First Line : 1633 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-1929
Country : US
Telephone Number : 562-800-5520
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : VARUJAN GABUCHIAN
Credential :
Telephone Number : 562-800-5520
Provider Enumeration Date : 11/10/2023
Last Update Date : 11/10/2023

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Directions to “BEACH CITY WELLNESS, INC. ” Practice Location

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