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 (PRESIDENT)
(310) 533-9233
Entity
Organization
Contact information
Practice address
1001 W CARSON ST, SUITE I, TORRANCE, CA 90502-2051
(310) 533-9233
(310) 533-9292
Mailing address
1001 W CARSON ST, SUITE I, TORRANCE, CA 90502-2051
(310) 533-9233
(310) 533-9292
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
A42535
CA
Other
Enumeration date
08/31/2015
Last updated
07/25/2019
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