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Organization
BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY THOMAS MD (PRESIDENT)
(310) 546-3461
Entity
Organization
Contact information
Practice address
400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
(310) 546-3461
(310) 546-6481
Mailing address
400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
(310) 546-3461
(310) 546-6481
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750539672
NPI
CA
Enumeration date
09/04/2008
Last updated
01/27/2023
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