NPI | 1386298685 |
---|---|
Doing Business As | REGAL FAMILY PRACTICE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BETSY ALCID SHAW Medical Director 310-533-9233 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |