| West Coast Regional Medical Group | |
|
23700 Camino Del Sol Torrance CA 90505-5017 | |
| (310) 991-6569 | |
| Not Available |
| Full Name | West Coast Regional Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 23700 Camino Del Sol, Torrance, California |
| Authorized Official Name and Position | Maryam Ahmed Abdelnaby (PRESIDENT) |
| Authorized Official Contact | 3109916569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Regional Medical Group 2563 Plaza Del Amo Unit 406 Torrance CA 90503-8958 Ph: (310) 991-6569 | West Coast Regional Medical Group 23700 Camino Del Sol Torrance CA 90505-5017 Ph: (310) 991-6569 |
| NPI Number | 1285835793 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486734746 |
|---|---|
| Medicare Enrollment ID | O20071228000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285835793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A80495 (California) | Primary |
| Provider Name | Maryam A Abdelnaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104978568 PECOS PAC ID: 9830136217 Enrollment ID: I20050418000205 |
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