Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ocean Beach Medical Group

Organization Non-Pharmacy Dispensing Site · NPI 1699032938

Ocean Beach Medical Group is a Non-Pharmacy Dispensing Site in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1947 Cable St
San Diego, CA 92107-2807
Phone: (619) 223-7164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence G19279 (CA)

Record details

NPI number1699032938
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Sr Director Ops · (858) 964-1506
NPI enumeratedApril 11, 2012
Last updated in NPPESOctober 25, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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