Organization
WESTERN PULMONARY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L PEARLE MD (MD OWNER)
(714) 446-8702
Entity
Organization
Contact information
Practice address
19742 MACARTHUR BLVD STE 100, IRVINE, CA 92612-2408
(949) 428-0330
(714) 879-1049
Mailing address
19742 MACARTHUR BLVD STE 100, IRVINE, CA 92612-2408
(949) 428-0330
(714) 879-1049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982783940
DR PEARLE NPI
CA
01
—
199372700
DEPT OF LABOR PROV NUMBER
CA
01
—
GR0014371
MEDI-CAL GRP PRV NUMBER
CA
01
—
ZZZ97067Z
BLUE SHIELD
CA
Enumeration date
11/02/2006
Last updated
01/26/2023
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