| Beach Physicians Medical Group Inc | |
|
17742 Beach Blvd Ste 215 Huntington Beach CA 92647-6818 | |
| (714) 848-1655 | |
| (714) 847-4348 |
| Full Name | Beach Physicians Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17742 Beach Blvd, Huntington Beach, California |
| Authorized Official Name and Position | Arnold J Brender (PRESIDENT) |
| Authorized Official Contact | 7148481655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Physicians Medical Group Inc 17742 Beach Blvd Ste 215 Huntington Beach CA 92647-6818 Ph: (714) 848-1655 | Beach Physicians Medical Group Inc 17742 Beach Blvd Ste 215 Huntington Beach CA 92647-6818 Ph: (714) 848-1655 |
| NPI Number | 1366439200 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 01/05/2010 |
| Medicare PECOS PAC ID | 9133017049 |
|---|---|
| Medicare Enrollment ID | O20040310000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366439200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Arnold J Brender |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396732053 PECOS PAC ID: 6800784729 Enrollment ID: I20040313000774 |
| Provider Name | Bassil Aish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124015888 PECOS PAC ID: 3678462967 Enrollment ID: I20040313000789 |
| Provider Name | Terry A Riker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043353543 PECOS PAC ID: 3870689847 Enrollment ID: I20071022000860 |
| Provider Name | Michael Elias Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265936710 PECOS PAC ID: 6800151580 Enrollment ID: I20180530001034 |
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