PIONEER MEDICAL GROUP INC. NPI 1932226941

NPI Information

PIONEER MEDICAL GROUP, INC. is a non pharmacy dispensing site in Cerritos, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PIONEER MEDICAL GROUP, INC. NPI is 1932226941. The provider is registered as an organization entity type.

The provider's business location address is:

16510 BLOOMFIELD AVE
CERRITOS, CA
ZIP 90703-115
Phone: (562) 229-0902

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 05D0984513 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 10/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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