| NPI | 1700197365 |
|---|---|
| Doing Business As | BEACH EYE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SAMIR SHAH Physician 714-965-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A85961) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-11-14 |