PIONEER MEDICAL GROUP INC. NPI 1548303589

NPI Information

NPI: 1548303589
Provider Name: PIONEER MEDICAL GROUP INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0984511

Address:
10251 ARTESIA BLVD
BELLFLOWER, CA
ZIP 90706
Phone: (562) 229-9452
Get Directions

PIONEER MEDICAL GROUP INC. is a multi-specialty clinic center in Bellflower, CA. PIONEER MEDICAL GROUP INC. NPI is 1548303589. The provider is registered as an organization entity type.

The provider's business location address is:

10251 ARTESIA BLVD
BELLFLOWER, CA
ZIP 90706-719
Phone: (562) 229-9452
Fax: (562) 920-4642

The provider's authorized official is William G Wong .
The authorized official title is President and has the following contact phone number (562) 229-9452.

The CLIA number assigned to this NPI record is 05D0984511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 11/1/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CJ3784	OTHER	CALIFORNIA	RAILROAD MEDICARE
2	W15103	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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

NPI Synchronization or Removal

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