| Pacific Coast Family Medical Group | |
|
520 N Prospect Avenue Suite 102 Redondo Beach CA 90277-3041 | |
| (310) 374-7655 | |
| (310) 372-7026 |
| Full Name | Pacific Coast Family Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 N Prospect Avenue, Redondo Beach, California |
| Authorized Official Name and Position | Ronald J Ruby (PRESIDENT OF GROUP) |
| Authorized Official Contact | 3105456627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Family Medical Group 1101 N Sepulveda Blvd Suite 102 Manhattan Beach CA 90266-5948 Ph: (310) 545-6627 | Pacific Coast Family Medical Group 520 N Prospect Avenue Suite 102 Redondo Beach CA 90277-3041 Ph: (310) 374-7655 |
| NPI Number | 1528071008 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528071008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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