Beach Obstetrics & Gynecology Medical Group A Medical Corporation
NPI 1366648594ActiveOrganization· Specialist· Huntington Beach, CA
Specialist in Huntington Beach, California, registered in NPPES in June 2007. The authorized official on file is Jeffrey Stuart Illeck, MD, President.
Overview
| NPI | 1366648594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2007 |
| Last updated in NPPES | Apr 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G067729 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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