Organization
WESTERN MEDICAL GROUP, INC.
Active
Parent organization
WESTERN MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MEDICAL GROUP, INC.
Authorized official
PAZ EILAT M.D. (MEDICAL DIRECTOR)
(310) 782-3300
Entity
Organization
Contact information
Practice address
21081 S WESTERN AVE, SUITE 150, TORRANCE, CA 90501-1703
(310) 782-3300
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
03/01/2011
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