NPI | 1568481315 |
---|---|
Doing Business As | SHORE TO SHORE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PHILIP S SHORE Md 818-886-1100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G071824) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-06-22 |