| NPI | 1023644556 |
|---|---|
| Doing Business As | HOME CARE MD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHYLEE BAUTISTA TIAMSON Nurse Practitioner 310-292-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2021-06-14 |