| Pulmonary Consultants & Primary Care Physicians Medical Group, Inc. | |
|
1010 W La Veta Ave Ste 750 Orange CA 92868-4312 | |
| (714) 361-6600 | |
| (714) 919-8804 |
| Full Name | Pulmonary Consultants & Primary Care Physicians Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1010 W La Veta Ave Ste 750, Orange, California |
| Authorized Official Name and Position | Jack Stewart (PRESIDENT, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7146399401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulmonary Consultants & Primary Care Physicians Medical Group, Inc. 1010 W La Veta Ave Ste 750 Orange CA 92868-4312 Ph: (714) 361-6600 | Pulmonary Consultants & Primary Care Physicians Medical Group, Inc. 1010 W La Veta Ave Ste 750 Orange CA 92868-4312 Ph: (714) 361-6600 |
| NPI Number | 1912919804 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912919804 | NPI | - | NPPES |
| GR0003350 | Medicaid | CA | |
| 1912919804 | Other | CA | TYPE 2 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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