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Organization
PACIFIC BEACH MEDICAL GROUP, INC.
Active
Organization
PACIFIC BEACH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE TANG KIET M.D. (PRESIDENT)
(714) 847-3700
Entity
Organization
Contact information
Practice address
16111 BEACH BLVD., HUNTINGTON BEACH, CA 92647
(714) 847-3700
(714) 847-3711
Mailing address
16111 BEACH BLVD., HUNTINGTON BEACH, CA 92647
(714) 847-3700
(714) 847-3711
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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