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ACE MEDICAL GROUP A PROFESSIONAL CORPORATION NPI 1801191929


NPI Information

NPI: 1801191929
Provider Name: ACE MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing Business As: PINE AVENUE URGENT CARE

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
5857 PINE AVE
CHINO HILLS, CA
ZIP 91709
Phone: (909) 287-7474
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ACE MEDICAL GROUP A PROFESSIONAL CORPORATION is an emergency medicine in Chino Hills, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ACE MEDICAL GROUP A PROFESSIONAL CORPORATION NPI is 1801191929. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pine Avenue Urgent Care.

The provider's business location address is:

5857 PINE AVE
CHINO HILLS, CA
ZIP 91709-536
Phone: (909) 287-7474
Fax: (909) 287-7470

The provider's authorized official is John Dimowo .
The authorized official title is President and has the following contact phone number (909) 287-7474.

The enumeration date for this NPI number is 1/20/2011 and was last updated on 1/20/2011.


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
1207P00000XEmergency MedicineA52501CALIFORNIAYes

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
1A52501OTHERCALIFORNIAMEDICAL BOARD OF 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

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