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Organization
PIMG; A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PIMG; A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Centre for Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
STUART NATHAN GRAHAM MD (PRESIDENT OF BOARD)
(858) 613-8900
Entity
Organization
Contact information
Practice address
15611 POMERADO RD, SUITE 400, POWAY, CA 92064-2437
(858) 675-3100
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/09/2006
Last updated
07/02/2009
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