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Organization
PACIFIC RIM INTEGRATED MEDICAL GROUP INC
Active
Organization
PACIFIC RIM INTEGRATED MEDICAL GROUP INC
Active
Other names
Amitabha Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERI SUE QUINCY DO (CEO)
(707) 542-4800
Entity
Organization
Contact information
Practice address
7064 CORLINE CT, SUITE A, SEBASTOPOL, CA 95472-4528
(707) 829-5900
(707) 829-5282
Mailing address
7064 CORLINE CT, SUITE A, SEBASTOPOL, CA 95472-4528
(707) 829-5900
(707) 829-5282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A5137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13019Z
PIN
—
Enumeration date
09/12/2007
Last updated
01/06/2009
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