NPI | 1467640409 |
---|---|
Doing Business As | PACIFIC COAST FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RONALD RUBY J. President 310-545-6627 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G34101) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2015-05-29 |