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Organization
SHAW MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
SHAW MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Other names
Regal Family Practice Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY ALCID SHAW MD (MEDICAL DIRECTOR)
(310) 533-9233
Entity
Organization
Contact information
Practice address
1001 W CARSON ST STE I, TORRANCE, CA 90502-2051
(310) 533-9233
(310) 533-9292
Mailing address
1001 W CARSON ST STE I, TORRANCE, CA 90502-2051
(310) 533-9233
(310) 533-9292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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