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Organization
JAMES C. PINE MD A MEDICAL CORPORATION
Active
Organization
JAMES C. PINE MD A MEDICAL CORPORATION
Active
Parent organization
JAMES C. PINE MD, A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES C. PINE MD, A MEDICAL CORPORATION
Authorized official
DR. JAMES CHARLES PINE MD (OWNER)
(760) 360-4888
Entity
Organization
Contact information
Practice address
76624 PANSY CIR, PALM DESERT, CA 92211-7454
(760) 360-4888
(760) 200-4321
Mailing address
76624 PANSY CIR, PALM DESERT, CA 92211-7454
(760) 360-4888
(760) 200-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C25244
CA
314000000X
Skilled Nursing Facility
C25244
CA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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