James C. Pine Md A Medical Corporation | |
76624 Pansy Cir Palm Desert CA 92211-7454 | |
(760) 360-4888 | |
(760) 200-4321 |
Full Name | James C. Pine Md A Medical Corporation |
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Speciality | Internal Medicine |
Location | 76624 Pansy Cir, Palm Desert, California |
Authorized Official Name and Position | James Charles Pine (OWNER) |
Authorized Official Contact | 7603604888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James C. Pine Md A Medical Corporation 76624 Pansy Cir Palm Desert CA 92211-7454 Ph: (760) 360-4888 | James C. Pine Md A Medical Corporation 76624 Pansy Cir Palm Desert CA 92211-7454 Ph: (760) 360-4888 |
NPI Number | 1992094924 |
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Provider Enumeration Date | 03/30/2011 |
Last Update Date | 03/30/2011 |
Identifier | Type | State | Issuer |
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1992094924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C25244 (California) | Primary |
314000000X | Skilled Nursing Facility | C25244 (California) | Secondary |
Faculty Physicians And Surgeons Of Llusm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41865 Boardwalk, Suite 103, Palm Desert, CA 92211 Phone: 760-341-5570 Fax: 909-558-3905 | |
Jitka Civrna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 Phone: 760-773-4948 Fax: 760-773-4910 | |