| NPI | 1225314107 |
|---|---|
| Doing Business As | WELLCARE LA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD W LEE Physician 562-531-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A85452) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2013-01-31 |