Genesis Family Care Medical Group, Inc.

NPI 1467640409 - Internal Medicine - 207RE0101X

NPI Details
NPI 1467640409
Enumeration Date 10/03/2007
Last Updated 05/29/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD RUBY RONALD
Position PRESIDENT
Phone (310) 545-6627
Fax (310) 545-0352
Practice Location
1101 N SEPULVEDA BLVD STE 102
MANHATTAN BEACH CA, 90266-5962, US
Phone (310) 545-6627
Fax (310) 545-0352
Business Location
1101 N SEPULVEDA BLVD STE 102
MANHATTAN BEACH CA, 90266-5962, US
Phone (310) 545-6627
Fax (310) 545-0352
Toxanomy
Taxonomy Code 207RE0101X
License State California
License Number G34101
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According to our database, Genesis Family Care Medical Group, Inc. NPI is 1467640409, taxonomy code is 207RE0101X and license number is G34101, license state is located at California. Genesis Family Care Medical Group, Inc. physically located at 1101 N Sepulveda Blvd Ste 102, Manhattan Beach CA, 90266-5962. NPI Number 1033115704 has the healthcare provider type.

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1467640409 NPI number is provided on an as is basis without warranty of any kind. 1467640409 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Family Care Medical Group, Inc. are for informational purposes only.