Organization
BEACH CITIES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAS V CHUGAY D.O. (MEDICAL DIRECTOR)
(562) 595-8507
Entity
Organization
Contact information
Practice address
4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
(562) 595-8507
(562) 988-9220
Mailing address
4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
(562) 595-8507
(562) 988-9220
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16520 AAAHC,INC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16520
ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC.
CA
Enumeration date
10/08/2009
Last updated
08/05/2011
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