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Organization
PACIFIC CARE MEDICAL GROUP, INC.
Active
Organization
PACIFIC CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIM C. HOFFMAN MD (PRESIDENT)
(714) 995-5400
Entity
Organization
Contact information
Practice address
559 N CENTRAL AVE, UPLAND, CA 91786-4241
(909) 920-1020
Mailing address
6800 LINCOLN AVE, SUITE 200, BUENA PARK, CA 90620-4162
(714) 995-5400
(714) 995-5254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
G15295
CA
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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