Beach Eye Medical Group Inc
LBN: Cleve S Mackenzie Md A Medical Corporation
Beach Eye Medical Group Inc is an health care organization with primary practice located at 19582 Beach Blvd Ste 322 , Huntington Beach CA 92648-5924. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Cleve S Mackenzie Md A Medical Corporation can be contacted via phone (714) 965-9696, or through Mackenzie, Cleve S via phone (714) 965-9696.
Contact Information
Primary practice address
19582 Beach Blvd Ste 322
Huntington Beach CA 92648-5924
Phone: (714) 965-9696
Fax: (714) 965-9797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1699886606 |
|---|---|
| LBN Legal business name | Cleve S Mackenzie Md A Medical Corporation |
| DBA Doing business as | Beach Eye Medical Group Inc |
| Authorized official | Mackenzie, Cleve S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 19th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699886606 | NPPES |
| California | MEDICAID | GR0085210 |
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