Organization · NPI-2
Pacific Care Medical Group, INC.
Orthopaedic Surgery · Indio, CA
NPI number1114126380
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1114126380
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Care Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G15295 | CA | Yes |
| 103T00000X | Psychologist | – | – | |
| 111N00000X | Chiropractor | – | – | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207T00000X | Neurological Surgery | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Practice location
81840 Avenue 46Suite 103
Indio, CA 92201-3936
Phone 760-347-2602
Mailing address
6800 Lincoln AveSuite 200
Buena Park, CA 90620-4162
Phone 714-995-5400 · Fax 714-995-5254
Authorized official
Sim C. Hoffman
Presient
7149955400
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