# BEACH CITIES MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205161395
- **Authorized official:** NIKOLAS V CHUGAY D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 595-8507

## Contact information

- **Practice address:** 4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
- **Practice address phone:** (562) 595-8507
- **Practice address fax:** (562) 988-9220
- **Mailing address:** 4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
- **Mailing address phone:** (562) 595-8507
- **Mailing address fax:** (562) 988-9220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16520 AAAHC,INC | CA | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 08/05/2011