NPI | 1528071008 |
---|---|
Doing Business As | PACIFIC COAST FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RONALD J RUBY President Of Group 310-545-6627 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-08-14 |
Last Update Date | 2015-05-29 |