| Organization Name: | BEACH PHYSICIANS MEDICAL GROUP INC |
| NPI Number: | 1366439200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARNOLD J BRENDER (PRESIDENT) |
| Mailing Address: | 17742 Beach Blvd Ste 215 Huntington Beach |
| State: | CA US |
| Postal Code: | 926476818 |
| Phone Number: | 7148481655 |
| Fax Number: | 7148474348 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 01/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |