Jefferson West Medical Group
Jefferson West Medical Group is a Primary Care Clinic/Center in Culver City, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
4212 Overland AveCulver City, CA 90230-3736
Phone: (310) 204-2574
Fax: (310) 204-2820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence A35973 (CA) |
|---|
Record details
| NPI number | 1023275542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barbara Donahue — President · (310) 204-2574 |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 4212 Overland Ave, Culver City, CA 90230-3736 |
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