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 / MEDICAL DIRECTOR)
(310) 702-7699
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
261Q00000X
Clinic/Center
Primary
714688
CA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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