Beach Surgical Medical Center Llc | |
18080 Beach Blvd Suite 101 Huntington Beach CA 92648-1342 | |
(714) 375-3779 | |
(714) 375-3889 |
Full Name | Beach Surgical Medical Center Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 18080 Beach Blvd, Huntington Beach, California |
Authorized Official Name and Position | Domenic Signorelli (MEDICAL DIRECTOR) |
Authorized Official Contact | 7145392279 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beach Surgical Medical Center Llc Po Box 1403 Garden Grove CA 92842-1403 Ph: (714) 375-3779 | Beach Surgical Medical Center Llc 18080 Beach Blvd Suite 101 Huntington Beach CA 92648-1342 Ph: (714) 375-3779 |
NPI Number | 1184805590 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 01/27/2009 |
Identifier | Type | State | Issuer |
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1184805590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | A255480 (California) | Primary |
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Careconnectmd Georgia Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16162 Beach Blvd Ste 100, Huntington Beach, CA 92647 Phone: 888-789-9585 Fax: 562-803-4500 | |
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