Seal Beach Family Medical Group, Inc.

NPI #1538311063 in Seal Beach, California

Provider Information

NPI Number
1538311063
Entity Type
Organization
Organization Name
Seal Beach Family Medical Group, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 15, 2008
Last Updated
Oct 23, 2012

Practice Location

Address
1198 PACIFIC COAST HWY
ZIP Code
90740-6251
Phone
(562) 598-5474

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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