Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Palisades Medical Group Inc

Organization Family Medicine Physician · NPI 1215037049

Pacific Palisades Medical Group Inc is a Family Medicine Physician in Pacific Palisades, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3619
Phone: (310) 459-7736
Fax: (310) 230-0284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215037049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Johnson — President · (310) 459-7736
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address15200 W Sunset Blvd, Suite 107, Pacific Palisades, CA 90272-3619

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