# BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1336669456
- **Authorized official:** JEREMY CHURCH (CFO)
- **Authorized official phone:** (323) 442-8747

## Contact information

- **Practice address:** 400 S SEPULVEDA BLVD STE 110, MANHATTAN BEACH, CA 90266-6814
- **Practice address phone:** (310) 798-6488
- **Practice address fax:** (310) 546-6481
- **Mailing address:** 121 GRAY AVE STE 301, SANTA BARBARA, CA 93101-1800
- **Mailing address phone:** (888) 282-7472
- **Mailing address fax:** (805) 679-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 01/19/2026