# BEACH CITIES ORTHOPEDICS & SPORTS MEDICINE, INC, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEACH CITIES ORTHOPEDICS & SPORTS MEDICINE, INC, A MEDICAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386933638
- **Legal business name:** BEACH CITIES ORTHOPEDICS & SPORTS MEDICINE, INC, A MEDICAL CORPORATION
- **Authorized official:** WILLIAM MEALER MD (OWNER)
- **Authorized official phone:** (310) 546-3461

## Contact information

- **Practice address:** 400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
- **Practice address phone:** (310) 546-3461
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011