# BEACH PHYSICAL MEDICINE PC

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

## Provider details

- **NPI number:** 1356053508
- **Authorized official:** NATHANIAL LYNOTT DC (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (562) 594-6644

## Contact information

- **Practice address:** 5512 E BRITTON DR STE 100, LONG BEACH, CA 90815-3149
- **Practice address phone:** (562) 594-6644
- **Mailing address:** 5512 E BRITTON DR STE 100, LONG BEACH, CA 90815-3149
- **Mailing address phone:** (562) 594-6644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2022
- **Last updated:** 03/27/2023