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Contact Information

BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE
400 S SEPULVEDA BLVD
SUITE 200
MANHATTAN BEACH, CA90266-6814
 Phone: 310-546-3461
 Fax: 310-546-6481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE

NPI Number 1750539672
LBN Legal business name BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE
Authorized official BRADLEY THOMAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2008
Last updated 01/27/2023 - About 3 years ago
Identifiers
CA Other 1750539672 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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