Organization
BEACH CITIES ORTHOPEDICS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHURCH (CFO)
(323) 442-8747
Entity
Organization
Contact information
Practice address
400 S SEPULVEDA BLVD STE 110, MANHATTAN BEACH, CA 90266-6814
(310) 798-6488
(310) 546-6481
Mailing address
121 GRAY AVE STE 301, SANTA BARBARA, CA 93101-1800
(888) 282-7472
(805) 679-6696
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
01/19/2026
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