Pacific Integrative Medical Center, Inc is a
Physical Medicine & Rehabilitation - Sports Medicine based in Santa Monica, California. Pacific Integrative Medical Center, Inc is licensed to practice in California (license number A108751) and their current practice location is
2400 Broadway, Suite 520, Santa Monica, California. It can be reached at their office (for appointments etc.) via phone at
(310) 453-8393.
NPI number for Pacific Integrative Medical Center, Inc is 1942616990 and their current mailing address is 2400 Broadway, Suite 520, Santa Monica, California. Pacific Integrative Medical Center, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942616990.
Healthcare Provider's Profile
Full Name | Pacific Integrative Medical Center, Inc |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 2400 Broadway, Santa Monica, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942616990
- Provider Enumeration Date: 07/10/2014
- Last Update Date: 07/10/2014
Medical Identifiers
Medical identifiers for Pacific Integrative Medical Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942616990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NN0400X | Chiropractor - Neurology | 28098 (California) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | A108751 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Integrative Medical Center, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pacific Integrative Medical Center, Inc 2400 Broadway, Suite 520, Santa Monica, CA 90404-3030 Ph: (310) 453-8393 | Pacific Integrative Medical Center, Inc 2400 Broadway, Suite 520, Santa Monica, CA 90404-3030 Ph: (310) 453-8393 |
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