NPI | 1376098343 |
---|---|
Doing Business As | REGAL FAMILY PRACTICE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BETSY ALCID SHAW President / Medical Director 310-702-7699 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 714688) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2016-08-19 |