BEYOND PRACTICE, INC.


Address: 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029
Phone: 6077590016

BEYOND PRACTICE, INC. (NPI# 1376160580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376160580
Entity Type Organization
Organization Name BEYOND PRACTICE, INC.
Practice Address 300 W Ocean Blvd Apt 6114
Long Beach
CA 90802-8029
Practice Telephone 6077590016
Mailing Telephone 6077590016
Enumeration Date 2020-07-03
Last Update Date 2020-07-03
Authorized Official Name DR. KEVIN PACHECO (CEO)
Authorized Official Telephone 6077590016
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 300 W OCEAN BLVD APT 6114
City LONG BEACH
State CA
Zip Code 90802-8029

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1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1235612193 Linda Nyagaya Nurse Practitioner 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 2018-09-06
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1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City LONG BEACH
Zip Code 90802

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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