Organization
BEACH SURGICAL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENIC SIGNORELLI DPM (MEDICAL DIRECTOR)
(714) 539-2279
Entity
Organization
Contact information
Practice address
18080 BEACH BLVD, SUITE 101, HUNTINGTON BEACH, CA 92648-1342
(714) 375-3779
(714) 375-3889
Mailing address
PO BOX 1403, GARDEN GROVE, CA 92842-1403
(714) 375-3779
(714) 375-3889
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A255480
CA
Other
Enumeration date
11/14/2007
Last updated
01/27/2009
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