| NPI | 1457305963 |
|---|---|
| Doing Business As | EL SEGUNDO FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RAJU H WADHWA Owner 310-939-1892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A50651) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-06-18 |