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 / 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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