Organization
TIMOTHY A MCGILLIVRAY M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A MCGILLIVRAY MD (OWNER)
(310) 602-5002
Entity
Organization
Contact information
Practice address
23600 TELO AVE STE 120, TORRANCE, CA 90505-4036
(310) 602-5002
Mailing address
748 AVENUE C, REDONDO BEACH, CA 90277-4841
(310) 602-5002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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