| NPI | 1417175134 |
|---|---|
| Doing Business As | MEDIPACE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MERCEDES BIN Office Manager 310-550-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |