Provider Demographics
NPI:1043854755
Name:BEACH PSYCHIATRY ASSOCIATES PC
Entity type:Organization
Organization Name:BEACH PSYCHIATRY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAGOPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-685-2022
Mailing Address - Street 1:3060 EL CERRITO PLZ STE 266
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-4011
Mailing Address - Country:US
Mailing Address - Phone:951-529-5518
Mailing Address - Fax:
Practice Address - Street 1:1804 GARNET AVE # 534
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-3352
Practice Address - Country:US
Practice Address - Phone:858-997-0703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty