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Organization
VISTA MEDICAL PARTNERS A PROFESSIONAL CORPORATION
Active
Organization
VISTA MEDICAL PARTNERS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MCDONOUGH MD (PRESIDENT/SOLE OWNER)
(310) 288-5933
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD STE 231, LOS ANGELES, CA 90057-2287
(310) 288-5933
(866) 683-4556
Mailing address
2105 BEVERLY BLVD STE 231, LOS ANGELES, CA 90057-2287
(310) 288-5933
(866) 683-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G730431
—
CA
Enumeration date
01/25/2007
Last updated
08/24/2021
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