Organization
BEYOND HEALTHCARE HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ODOM PHD (CEO)
(949) 735-0023
Entity
Organization
Contact information
Practice address
16885 PACIFIC COAST HWY UNIT 1358, SUNSET BEACH, CA 90742-1871
(949) 735-0023
Mailing address
16885 PACIFIC COAST HWY UNIT 1358, SUNSET BEACH, CA 90742-1871
(949) 735-0023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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