Pacific Medical Group
Pacific Medical Group is a Surgery Physician in Playa Vista, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5450 Lincoln BlvdPlaya Vista, CA 90094-2002
Phone: (310) 305-9200
Fax: (310) 305-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|
Record details
| NPI number | 1104430669 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samson Yirgu — Manager · (310) 305-9200 |
| NPI enumerated | September 2, 2020 |
| Last updated in NPPES | September 2, 2020 |
| Certification date | September 2, 2020 |
| Mailing address | 4712 Admiralty Way # 574, Marina Del Rey, CA 90292-6905 |