| NPI | 1699886606 |
|---|---|
| Other Name | BEACH EYE MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | CLEVE S MACKENZIE Owner/Physician 714-965-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-03-19 |