Active NPI
Seal Beach Medical, LLC
- Orthopedic Chiropractor
- Seal Beach, CA
National Provider Identifier
1932990793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- Legal business name
- SEAL BEACH MEDICAL, LLC
- Practice address
- 1198 Pacific Coast Hwy
Suite D #519
Seal Beach, CA 90740 - Phone
- (562) 566-2829
- Fax
- (562) 550-7560
- NPI assigned
- May 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Miller
- Title
- Colletor
- Phone
- (562) 566-2829
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Orthopedic Chiropractor | 111NX0800X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
1198 Pacific Coast Hwy
Suite D #519
Seal Beach, CA 90740
Mailing address
1077 Pacific Coast Hwy Ste 293
Seal Beach, CA 90740-6214
Phone (562) 566-2829
National Provider Directory
National Provider DirectoryLocations
1077 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (323) 792-2540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1932990793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 PACIFIC COAST HWY STE 293",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406214",
"telephone_number": "562-566-2829",
"fax_number": "562-550-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 PACIFIC COAST HWY",
"address_2": "SUITE D #519",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "90740",
"telephone_number": "562-566-2829",
"fax_number": "562-550-7560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAL BEACH MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "COLLETOR",
"authorized_official_telephone_number": "562-566-2829"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seal Beach, CA
- Seal Beach Drug
- Seal Beach Eyes Optometry Inc
- Seal Beach Family Medical Group, Inc.
- Seal Beach Family Medical Group, Inc.
- Seal Beach MD Billing LLC
- Seal Beach Physical Therapy Inc.
- Seal Beach Podiatry Group, Inc.
- Seal Beach Urgent Care Medical Corporation
- Seaside Speech Therapy, LLC
- Jeffrey K Seitelman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.