| Hinds Medical Group A Professional Corporation | |
|
220 Princessa Ln Pismo Beach CA 93449-3413 | |
| (805) 704-2835 | |
| (052) 213-2998 |
| Full Name | Hinds Medical Group A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 220 Princessa Ln, Pismo Beach, California |
| Authorized Official Name and Position | Robert L Hinds (PRESIDENT) |
| Authorized Official Contact | 8057042835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinds Medical Group A Professional Corporation 220 Princessa Ln Pismo Beach CA 93449-3413 Ph: (970) 663-2742 | Hinds Medical Group A Professional Corporation 220 Princessa Ln Pismo Beach CA 93449-3413 Ph: (805) 704-2835 |
| NPI Number | 1497857940 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 7618951146 |
|---|---|
| Medicare Enrollment ID | O20040721001696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497857940 | NPI | - | NPPES |
| 00AX67680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A75086 (California) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 20A6768 (California) | Secondary |
| Provider Name | Robert L Hinds |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619072964 PECOS PAC ID: 9234113762 Enrollment ID: I20040615000643 |
| Provider Name | Phoebe Yi-hsi Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528163870 PECOS PAC ID: 2860476306 Enrollment ID: I20040615000713 |
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