| Pacific Internal Medicine Group | |
|
2777 Pacific Ave Suite E Long Beach CA 90806-2625 | |
| (562) 426-6571 | |
| (562) 595-8695 |
| Full Name | Pacific Internal Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2777 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | John D Adams (OWNER) |
| Authorized Official Contact | 5624266571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Internal Medicine Group 2777 Pacific Ave Suite E Long Beach CA 90806-2625 Ph: (562) 426-6571 | Pacific Internal Medicine Group 2777 Pacific Ave Suite E Long Beach CA 90806-2625 Ph: (562) 426-6571 |
| NPI Number | 1114937554 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 4082654801 |
|---|---|
| Medicare Enrollment ID | O20050510001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114937554 | NPI | - | NPPES |
| GR0026080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John D Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801852900 PECOS PAC ID: 8224025135 Enrollment ID: I20050425000423 |
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