| Pacific Bay Medical Group | |
|
1403 Lomita Blvd Suite 304 Harbor City CA 90710-2076 | |
| (310) 517-1828 | |
| (310) 517-0362 |
| Full Name | Pacific Bay Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1403 Lomita Blvd, Harbor City, California |
| Authorized Official Name and Position | Ulyss Chow (OWNER) |
| Authorized Official Contact | 3105171828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Bay Medical Group 1403 Lomita Blvd Suite 304 Harbor City CA 90710-2076 Ph: (310) 517-1828 | Pacific Bay Medical Group 1403 Lomita Blvd Suite 304 Harbor City CA 90710-2076 Ph: (310) 517-1828 |
| NPI Number | 1881783462 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881783462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5319 (California) | Primary |
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Dmc-ods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 Phone: 310-534-6221 | |
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