| NPI | 1629826995 |
|---|---|
| Doing Business As | OCEANFRONT PROVIDER GROUP OF CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | SHAWN M. COLE President 972-275-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-10-17 |