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PACIFIC RHEUMATOLOGY MEDICAL CENTER INC. NPI 1205120375


NPI Information

NPI: 1205120375
Provider Name: PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
805 W LA VETA AVE
SUITE 105
ORANGE, CA
ZIP 92868
Phone: (814) 248-1006
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PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC. is a rheumatology internal medicine in Orange, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC. NPI is 1205120375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

805 W LA VETA AVE
SUITE 105
ORANGE, CA
ZIP 92868-901
Phone: (814) 248-1006

The provider's authorized official is Behnam Khaleghi .
The authorized official title is Md/owner and has the following contact phone number (814) 248-1006.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 6/6/2011.


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
1207RR0500XInternal MedicineRheumatologyC54349CALIFORNIAYes

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
1C54349OTHERCALIFORNIACA LICENSE

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: 11/14/2023

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