Organization
AXMINSTER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SANDER MD (PRESIDENT)
(310) 792-4060
Entity
Organization
Contact information
Practice address
20911 EARL ST, STE 440, TORRANCE, CA 90503-4352
(310) 419-8585
(310) 419-8553
Mailing address
20911 EARL STREET, SUITE 440, TORRANCE, CA 90503
(310) 419-8585
(310) 419-8553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084744
—
CA
01
—
ZZZ48652Z
BLUE SHIELD
CA
Enumeration date
08/09/2005
Last updated
07/06/2017
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