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PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC NPI 1912385451


NPI Information

NPI: 1912385451
Provider Name: PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4590 RIVERSIDE DR
CHINO, CA
ZIP 91710
Phone: (909) 464-9880
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PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC is a general practice in Chino, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC NPI is 1912385451. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4590 RIVERSIDE DR
CHINO, CA
ZIP 91710-980
Phone: (909) 464-9880
Fax: (909) 591-4720

The provider's authorized official is Ali Halati .
The authorized official title is Director and has the following contact phone number (909) 464-9880.

The enumeration date for this NPI number is 5/17/2015 and was last updated on 9/21/2015.


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
1364SF0001XClinical Nurse SpecialistFamily HealthPA18558CALIFORNIANo
2208D00000XGeneral PracticeA92433CALIFORNIAYes

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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