NPI | 1306213889 |
---|---|
Doing Business As | REGAL FAMILY PRACTICE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BETSY ALCID SHAW President 310-533-9233 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA A42535) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-07-25 |