Organization
JEFFERSON WEST MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA DONAHUE M.D. (PRESIDENT)
(310) 204-2574
Entity
Organization
Contact information
Practice address
4212 OVERLAND AVE, CULVER CITY, CA 90230-3736
(310) 204-2574
(310) 204-2820
Mailing address
4212 OVERLAND AVE, CULVER CITY, CA 90230-3736
(310) 204-2574
(310) 204-2820
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A35973
CA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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