Provider Demographics
NPI:1326812280
Name:BEACH CITY WELLNESS, INC.
Entity Type:Organization
Organization Name:BEACH CITY WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VARUJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GABUCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-800-5520
Mailing Address - Street 1:1633 LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-1929
Mailing Address - Country:US
Mailing Address - Phone:562-800-5520
Mailing Address - Fax:
Practice Address - Street 1:1633 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-1929
Practice Address - Country:US
Practice Address - Phone:562-800-5520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care