| Pacific Coast Health Medical Group A Professional Corporation | |
|
1600 Pacific Coast Hwy Seal Beach CA 90740-6208 | |
| (949) 278-2327 | |
| Not Available |
| Full Name | Pacific Coast Health Medical Group A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Pacific Coast Hwy, Seal Beach, California |
| Authorized Official Name and Position | James L Pearson (OWNER) |
| Authorized Official Contact | 9492787545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Health Medical Group A Professional Corporation 1600 Pacific Coast Hwy Seal Beach CA 90740-6208 Ph: (949) 278-7545 | Pacific Coast Health Medical Group A Professional Corporation 1600 Pacific Coast Hwy Seal Beach CA 90740-6208 Ph: (949) 278-2327 |
| NPI Number | 1295569200 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 0042745556 |
|---|---|
| Medicare Enrollment ID | O20241120004351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295569200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James L Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578049987 PECOS PAC ID: 7719308014 Enrollment ID: I20211102003092 |
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