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PIMG; A PROFESSIONAL MEDICAL CORPORATION NPI 1174572788


NPI Information

NPI: 1174572788
Provider Name: PIMG; A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: CENTRE FOR HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1236 MAIN ST
RAMONA, CA
ZIP 92065
Phone: (760) 789-5160
Get Directions

PIMG; A PROFESSIONAL MEDICAL CORPORATION is a family medicine in Ramona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIMG; A PROFESSIONAL MEDICAL CORPORATION NPI is 1174572788. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centre For Healthcare.

The provider's business location address is:

1236 MAIN ST
RAMONA, CA
ZIP 92065-125
Phone: (760) 789-5160

The provider's authorized official is Stuart Nathan Graham .
The authorized official title is President Of Board and has the following contact phone number (858) 613-8900.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 7/2/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyNo
2207R00000XInternal MedicineNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15254950002MEDICARE NSCCALIFORNIA
25254950001MEDICARE NSCCALIFORNIA
3CU0284MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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