| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992094924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C25244 (California) | Primary |
| 314000000X | Skilled Nursing Facility | C25244 (California) | Secondary |
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