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PACIFIC RIM INTEGRATED MEDICAL GROUP INC NPI 1821283987


NPI Information

NPI: 1821283987
Provider Name: PACIFIC RIM INTEGRATED MEDICAL GROUP INC

Doing Business As: AMITABHA MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
7064 CORLINE CT
SUITE A
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 829-5900
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PACIFIC RIM INTEGRATED MEDICAL GROUP INC is an internal medicine in Sebastopol, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PACIFIC RIM INTEGRATED MEDICAL GROUP INC NPI is 1821283987. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amitabha Medical Clinic.

The provider's business location address is:

7064 CORLINE CT
SUITE A
SEBASTOPOL, CA
ZIP 95472-528
Phone: (707) 829-5900
Fax: (707) 829-5282

The provider's authorized official is Cheri Sue Quincy .
The authorized official title is Ceo and has the following contact phone number (707) 542-4800.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 1/6/2009.


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
1207R00000XInternal Medicine20A5137CALIFORNIAYes

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
1020A51370MEDICARE PIN
2E25223MEDICARE UPIN
3ZZZ13019ZOTHERPIN

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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