Rooted In Play
Specialty details in registry · Huntington Beach, CA
At a glance
21282 Beach Blvd Apt 101, Huntington Beach, CA 92648-5720
NPPES record updated Dec 9, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
21282 Beach Blvd Apt 101Huntington Beach, CA 92648-5720
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Dec 21, 2016
- Record updated
- Dec 9, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
21282 Beach Blvd Apt 101Huntington Beach, CA 92648-5720
- Phone
- (310) 890-3117
- Fax
- (866) 817-8882
Mailing address
1077 BELMONT AVELONG BEACH, CA 908044225
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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