ON BEACH SURGERY CENTER – NPI #1003420001
Clinic/Center

ON BEACH SURGERY CENTER is an AHC clinic located in BUENA PARK, CA. NPPES has assigned the NPI number 1003420001 to ON BEACH SURGERY CENTER on September 07, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ON BEACH SURGERY CENTER below.

NPI Profile for
ON BEACH SURGERY CENTER

NPI Number
1003420001
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ON BEACH SURGERY CENTER
Primary location
5832 BEACH BLVD
SUITE 210
BUENA PARK, CA 90621
Phone: (714) 515-5300 Fax: (714) 515-5065
Mailing address
5832 BEACH BLVD UNIT 210
BUENA PARK, CA 90621-5501
Phone: (714) 515-5300 Fax: (714) 515-5065
Organization Subpart
No
Authorized Official
PHILLIP LIM
CEO
Phone: (714) 515-5300
Updated
Certification Date
Feb 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.