Organization
BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY THOMAS MD (PRESIDENT)
(310) 546-3461
Entity
Organization
Contact information
Practice address
400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
(310) 546-3461
(310) 546-6481
Mailing address
400 S SEPULVEDA BLVD, SUITE 200, MANHATTAN BEACH, CA 90266-6814
(310) 546-3461
(310) 546-6481
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750539672
NPI
CA
Enumeration date
09/04/2008
Last updated
01/27/2023
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