# BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1750539672
- **Authorized official:** DR. BRADLEY THOMAS MD (PRESIDENT)
- **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
- **Practice address fax:** (310) 546-6481
- **Mailing address:** 400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
- **Mailing address phone:** (310) 546-3461
- **Mailing address fax:** (310) 546-6481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 01/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1750539672 | NPI | CA |