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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