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Organization

PACIFIC CARE MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIM C. HOFFMAN MD (PRESIENT)
(714) 995-5400
Entity
Organization

Contact information

Practice address
81840 AVENUE 46, SUITE 103, INDIO, CA 92201-3936
(760) 347-2602
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
111N00000X
Chiropractor
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
Primary
G15295
CA
208100000X
Physical Medicine & Rehabilitation Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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