Pacific Shores Medical Group, Inc.

NPI 1073662110 - Internal Medicine - 207RH0003X

NPI Details
NPI 1073662110
Enumeration Date 01/09/2007
Last Updated 04/12/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NERSES SIMON NERSES
Position CEO
Phone (562) 430-5900
Fax
Practice Location
3747 WORSHAM AVE
STE 101
LONG BEACH CA, 90808-1774, US
Phone (562) 430-5900
Fax
Business Location
1043 ELM AVE
STE 104
LONG BEACH CA, 90813-3271, US
Phone (562) 590-0345
Fax (562) 437-8139
Toxanomy
Taxonomy Code 207RH0003X
License State
License Number
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According to our database, Pacific Shores Medical Group, Inc. NPI is 1073662110, taxonomy code is 207RH0003X Pacific Shores Medical Group, Inc. physically located at 3747 Worsham Ave, Long Beach CA, 90808-1774. NPI Number 1033115704 has the healthcare provider type.

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1073662110 NPI number is provided on an as is basis without warranty of any kind. 1073662110 is maintained by the National Plan & Provider Enumeration System. The contents of Pacific Shores Medical Group, Inc. are for informational purposes only.