Organization
BEACH PRO PHYSICAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN SAMMONS DO (PRESIDENT)
(714) 962-8818
Entity
Organization
Contact information
Practice address
8941 ADAMS AVE, HUNTINGTON BEACH, CA 92646-3330
(714) 962-8818
(714) 962-8819
Mailing address
8941 ADAMS AVE, HUNTINGTON BEACH, CA 92646-3330
(714) 962-8818
(714) 962-8819
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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