Jefferson West Medical Group
NPI #1023275542 in Culver City, California
Provider Information
- NPI Number
- 1023275542
- Entity Type
- Organization
- Organization Name
- Jefferson West Medical Group
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 4212 OVERLAND AVE
- City
- Culver City
- State
- California
- ZIP Code
- 90230-3736
- Phone
- (310) 204-2574
Authorized Official
- Name
- DR. BARBARA DONAHUE, M.D.
- Title
- PRESIDENT
- Phone
- (310) 204-2574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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