Organization
BEACH MEDICAL GROUP INC
Active
Organization
BEACH MEDICAL GROUP INC
Active
Other names
BECH MEDICAL ASSOC. INC
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SARREAL M.D. (NEUROLOGIST)
(562) 426-6755
Entity
Organization
Contact information
Practice address
5318 E 2ND ST STE 100, LONG BEACH, CA 90803-5324
(562) 426-6755
(562) 492-9617
Mailing address
5318 E 2ND ST, STE 100, LONG BEACH, CA 90806-5354
(562) 426-6755
(562) 492-9617
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090830
—
CA
Enumeration date
09/27/2007
Last updated
09/27/2007
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