Organization
BEACHSIDE CLINIC
Active
Organization
BEACHSIDE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MESSEGUER NAJERA (COO)
(619) 565-1079
Entity
Organization
Contact information
Practice address
3213 E LIBBY ST, PHOENIX, AZ 85032-2094
(602) 339-7392
Mailing address
3213 E LIBBY ST, PHOENIX, AZ 85032-2094
(602) 339-7392
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
3416S0300X
Water Ambulance
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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