Beach Obstetrics & Gynecology Medical Group A Medical Corporation in Huntington Beach - Specialist

Beach Obstetrics & Gynecology Medical Group A Medical Corporation - NPI 1366648594

Beach Obstetrics & Gynecology Medical Group A Medical Corporation is a Specialist in Huntington Beach, California. Beach Obstetrics & Gynecology Medical Group A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Beach Obstetrics & Gynecology Medical Group A Medical Corporation is 1366648594. The last update date is 2019-04-06.

Beach Obstetrics & Gynecology Medical Group A Medical Corporation's current location address is 19582 Beach Blvd Ste 202, Huntington Beach, California. You can contact this provider via phone number 7148419899 and fax number 7148412729. The mailing address for Beach Obstetrics & Gynecology Medical Group A Medical Corporation is 19582 Beach Blvd Ste 202, Huntington Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beach Obstetrics & Gynecology Medical Group A Medical Corporation
Address 19582 Beach Blvd Ste 202, Huntington Beach, California
Phone Number 7148419899
Fax Number 7148412729
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Illeck Stuart Jeffrey
Credentials MD
Telephone Number 7148419899

NPI Number Detail

NPI Number 1366648594
Provider Enumeration Date 2007-06-25
Last Updated Date 2019-04-06

Provider Mailing Address Detail

Address 19582 Beach Blvd Ste 202
City Huntington Beach
State California (CA)
Post Code 926482996
Phone Number 7148419899
Fax Number 7148412729

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G067729
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Beach Obstetrics & Gynecology Medical Group A Medical Corporation

What is the unique 10-digit identifier code issued to Beach Obstetrics & Gynecology Medical Group A Medical Corporation by the Centers for Medicare & Medicaid Services?

The Beach Obstetrics & Gynecology Medical Group A Medical Corporation has been assigned the NPI (National Provider Identifier) 1366648594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Beach Obstetrics & Gynecology Medical Group A Medical Corporation is physically located?

The Beach Obstetrics & Gynecology Medical Group A Medical Corporation is situated at the following address: 19582 Beach Blvd Ste 202, Huntington Beach, CA 926482996.

What is Beach Obstetrics & Gynecology Medical Group A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Beach Obstetrics & Gynecology Medical Group A Medical Corporation is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When did Beach Obstetrics & Gynecology Medical Group A Medical Corporation receive its 1366648594 assignment?

The Beach Obstetrics & Gynecology Medical Group A Medical Corporation was assigned its 1366648594 on 2007-06-25, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Beach Obstetrics & Gynecology Medical Group A Medical Corporation most recently updated or revised?

The information pertaining to Beach Obstetrics & Gynecology Medical Group A Medical Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-06.

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