# BEACH SURGICAL ASSISTANTS OF VA, LLC

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

## Provider details

- **NPI number:** 1205443876
- **Authorized official:** MRS. DEBORAH REDMOND CSA (SURGICAL ASSISTANT, OWNER)
- **Authorized official phone:** (757) 343-4735

## Contact information

- **Practice address:** 2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
- **Practice address phone:** (757) 343-4735
- **Mailing address:** 2233 ELDER RD, VIRGINIA BEACH, VA 23451-1105
- **Mailing address phone:** (757) 343-4735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 11/11/2020