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PACIFIC INTEGRATIVE MEDICAL CENTER INC NPI 1942616990


NPI Information

NPI: 1942616990
Provider Name: PACIFIC INTEGRATIVE MEDICAL CENTER, INC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2400 BROADWAY
SUITE 520
SANTA MONICA, CA
ZIP 90404
Phone: (310) 453-8393
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PACIFIC INTEGRATIVE MEDICAL CENTER, INC is a sports medicine physical medicine rehabilitation in Santa Monica, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. PACIFIC INTEGRATIVE MEDICAL CENTER, INC NPI is 1942616990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 BROADWAY
SUITE 520
SANTA MONICA, CA
ZIP 90404-030
Phone: (310) 453-8393
Fax: (310) 453-8696

The provider's authorized official is Keelie Steffen .
The authorized official title is Office Manager and has the following contact phone number (310) 453-8393.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/10/2014.


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
1111NN0400XChiropractorNeurology28098CALIFORNIANo
22081S0010XPhysical Medicine & RehabilitationSports MedicineA108751CALIFORNIAYes

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
1U91109MEDICARE UPINCALIFORNIA

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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