Jefferson West Medical Group in Culver City - Primary Care
Jefferson West Medical Group - NPI 1023275542
Jefferson West Medical Group is a Primary Care in Culver City, California. Jefferson West Medical Group practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Jefferson West Medical Group is 1023275542. The last update date is 2008-05-21.
Jefferson West Medical Group's current location address is 4212 Overland Ave, Culver City, California. You can contact this provider via phone number 3102042574 and fax number 3102042820. The mailing address for Jefferson West Medical Group is 4212 Overland Ave, Culver City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson West Medical Group |
|---|---|
| Address | 4212 Overland Ave, Culver City, California |
| Phone Number | 3102042574 |
| Fax Number | 3102042820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Donahue Barbara |
| Credentials | M.D. |
| Telephone Number | 3102042574 |
NPI Number Detail
| NPI Number | 1023275542 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 4212 Overland Ave |
|---|---|
| City | Culver City |
| State | California (CA) |
| Post Code | 902303736 |
| Phone Number | 3102042574 |
| Fax Number | 3102042820 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | A35973 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jefferson West Medical Group by the Centers for Medicare & Medicaid Services?
The Jefferson West Medical Group has been issued the NPI (National Provider Identifier) 1023275542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jefferson West Medical Group's facilities are situated?
The facilities of Jefferson West Medical Group are physically located at the following address: 4212 Overland Ave, Culver City, CA, 902303736.
What is the Jefferson West Medical Group's specialty and taxonomy code?
The Jefferson West Medical Group's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023275542 to Jefferson West Medical Group?
The Jefferson West Medical Group received its 1023275542 assignment from the Centers for Medicare & Medicaid Services on 2008-05-21.
As of what date was the information regarding Jefferson West Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jefferson West Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-21.