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EL-BERSHAWI MEDICAL CORP NPI 1386813103


NPI Information

NPI: 1386813103
Provider Name: EL-BERSHAWI MEDICAL CORP

Doing Business As: PACIFIC PULMONARY MEDICAL GROUP

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
4234 RIVERWALK PKWY
SUITE 230
RIVERSIDE, CA
ZIP 92505
Phone: (951) 781-3672
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EL-BERSHAWI MEDICAL CORP is a critical care medicine internal medicine in Riverside, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. EL-BERSHAWI MEDICAL CORP NPI is 1386813103. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Pulmonary Medical Group.

The provider's business location address is:

4234 RIVERWALK PKWY
SUITE 230
RIVERSIDE, CA
ZIP 92505-510
Phone: (951) 781-3672
Fax: (951) 781-0365

The provider's authorized official is Ahmed El-bershawi .
The authorized official title is Owner/medical Director and has the following contact phone number (951) 781-3672.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 3/3/2016.


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
1207R00000XInternal MedicineA90658CALIFORNIANo
2207RP1001XInternal MedicinePulmonary DiseaseA90658CALIFORNIANo
3207RS0012XInternal MedicineSleep MedicineA90658CALIFORNIANo
4208M00000XHospitalistA90658CALIFORNIANo
5207RC0200XInternal MedicineCritical Care MedicineA90658CALIFORNIAYes

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
1ZZZ07188ZMEDICARE 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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