Organization
BEACH TOX LLC
Active
Organization
BEACH TOX LLC
Active
Other names
Beach Tox, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT ALAN JOLLY (OWNER)
(424) 396-0037
Entity
Organization
Contact information
Practice address
4025 SPENCER ST STE 303, TORRANCE, CA 90503-9410
(424) 396-0037
(424) 358-3773
Mailing address
4025 SPENCER ST STE 303, TORRANCE, CA 90503-9410
(424) 396-0037
(424) 358-3773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
01/20/2021
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