BEACH OBSTETRICS & GYNECOLOGY MEDICAL GROUP A MEDICAL CORPORATION
NPI 1366648594
Specialist in Huntington Beach, CA

Q: What is Beach Obstetrics & Gynecology Medical Group A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 25, 2007

19582 BEACH BLVD STE 202, HUNTINGTON BEACH, CA 92648(714) 841-9899(714) 841-2729 Get Directions Write a Review

NPPES record last updated: April 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beach Obstetrics & Gynecology Medical Group A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH OBSTETRICS & GYNECOLOGY MEDICAL GROUP A MEDICAL CORPORATION (NPI 1366648594) is a healthcare organization registered as a specialist in Huntington Beach, California and active in the NPI registry since June 2007. The organization maintains a secondary practice location in Newport Beach and lists Jeffrey Stuart Illeck, President, as its authorized official.

NPPES Registry Identity

NPI1366648594

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBEACH OBSTETRICS & GYNECOLOGY MEDICAL GROUP A MEDICAL CORPORATION

Location Address19582 BEACH BLVD STE 202Huntington Beach, CA 92648-2996

Mailing Address19582 Beach Blvd Ste 202Huntington Beach, CA 92648-2996 · (714) 841-9899 · Fax (714) 841-2729

Phone(714) 841-9899

Fax(714) 841-2729

Organization SubpartNo

Authorized OfficialJeffrey Stuart IlleckPresident · (714) 841-9899

Enumeration DateJune 25, 2007

Last NPPES UpdateApril 6, 2019

✔ NPI 1366648594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G067729

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

19582 BEACH BLVD STE 202, Huntington Beach, CA 92648

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Secondary Practice Location 1

Location 1500 Superior Ave Ste 330Newport Beach, CA 92663-3658 · Phone (949) 438-2440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY STUART ILLECK M.D.

Obstetrics & Gynecology