| Western Pulmonary Medical Group Inc | |
|
19742 Macarthur Blvd Ste 100 Irvine CA 92612-2408 | |
| (949) 428-0330 | |
| (714) 879-1049 |
| Full Name | Western Pulmonary Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19742 Macarthur Blvd Ste 100, Irvine, California |
| Authorized Official Name and Position | James L Pearle (MD OWNER) |
| Authorized Official Contact | 7144468702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Pulmonary Medical Group Inc 19742 Macarthur Blvd Ste 100 Irvine CA 92612-2408 Ph: (949) 428-0330 | Western Pulmonary Medical Group Inc 19742 Macarthur Blvd Ste 100 Irvine CA 92612-2408 Ph: (949) 428-0330 |
| NPI Number | 1104905199 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 3971540030 |
|---|---|
| Medicare Enrollment ID | O20050411001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104905199 | NPI | - | NPPES |
| ZZZ97067Z | Other | CA | BLUE SHIELD |
| 199372700 | Other | CA | DEPT OF LABOR PROV NUMBER |
| GR0014371 | Other | CA | MEDI-CAL GRP PRV NUMBER |
| 1982783940 | Other | CA | DR PEARLE NPI |
| Provider Name | James H Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679662217 PECOS PAC ID: 0749243418 Enrollment ID: I20041104000748 |
| Provider Name | Carl W Buckhorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649264847 PECOS PAC ID: 8224050281 Enrollment ID: I20051219001011 |
| Provider Name | Pavani N Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982616124 PECOS PAC ID: 6608872585 Enrollment ID: I20061017000355 |
| Provider Name | Lutfi A Sayyur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174602163 PECOS PAC ID: 6406893569 Enrollment ID: I20111116000640 |
| Provider Name | James L Pearle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982783940 PECOS PAC ID: 6901798198 Enrollment ID: I20111221000548 |
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