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NPI Code Detail

MEDICARE: BEACH PHYSICIANS MEDICAL GROUP INC

MEDICARE: BEACH PHYSICIANS MEDICAL GROUP 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
1208D00000XGeneral Practice Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1366439200
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACH PHYSICIANS MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 17742 BEACH BLVD
Second Line : STE 215
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6818
Country : US
Telephone Number : 714-848-1655
Fax Number : 714-847-4348
Provider Business Practice Location Address
First Line : 17742 BEACH BLVD
Second Line : STE 215
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6818
Country : US
Telephone Number : 714-848-1655
Fax Number : 714-847-4348
Authorized Official
Title or Position : PRESIDENT
Name : ARNOLD J BRENDER
Credential : MD
Telephone Number : 714-848-1655
Provider Enumeration Date : 10/05/2005
Last Update Date : 01/05/2010

Similar Medicare Providers

1124015888 — BASSIL AISH MD
Practice Location Address:
17742 BEACH BLVD , STE 215
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-848-1655
Practice Fax: 714-847-4348
1396732053 — ARNOLD J BRENDER MD
Practice Location Address:
17742 BEACH BLVD , STE 215
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-848-1655
Practice Fax: 714-847-4348
1760464242 — DR. TIMOTHY W GIBSON MD
Practice Location Address:
17742 BEACH BLVD , SUITE 245
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-848-1911
Practice Fax: 714-841-6761
1457311938 — DR. LINDAKAY D. REES M.D.
Practice Location Address:
17742 BEACH BLVD , SUITE 360
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-848-0868
Practice Fax: 714-848-2248
1700847704 — PATRICIA N STEPHENS M.D.
Practice Location Address:
17742 BEACH BLVD , SUITE 360
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-848-0868
Practice Fax: 714-848-2248
1114985892 — DR. MARY ANNETTE COTE M.D.
Practice Location Address:
17742 BEACH BLVD , SUITE 305
HUNTINGTON BEACH, CA
92647-6818
Practice Phone: 714-596-4488
Practice Fax: 714-596-5522

Directions to “BEACH PHYSICIANS MEDICAL GROUP INC ” Practice Location

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