Primary Care Sports MD Group Inc

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1750871752

Primary Care Sports MD Group Inc is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in LA Quinta, California. Licensed in California. Registered with an NPI since 2018.

Licensed in: CA
In the registry since: 2018

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

47647 Caleo Bay Dr Ste 140
LA Quinta, CA 92253-8857
Phone: (760) 360-1000
Fax: (760) 610-6171

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081S0010X · Licence A121278 (CA)

Record details

NPI number	1750871752
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Efren Wu — President · (760) 360-1000
NPI enumerated	May 15, 2018
Last updated in NPPES	March 4, 2020
Certification date	March 4, 2020
Mailing address	47647 Caleo Bay Dr Ste 140, La Quinta, CA 92253-8857