Organization
HUNTINGTON PULMONARY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMI M GONZALEZ (OFFICE MANAGER)
(626) 316-7026
Entity
Organization
Contact information
Practice address
39 CONGRESS ST, SUITE 201, PASADENA, CA 91105-3024
(626) 486-0181
(626) 486-0189
Mailing address
39 CONGRESS ST, SUITE 201, PASADENA, CA 91105-3024
(626) 486-0181
(626) 486-0189
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A102461
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A82228
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A88722
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A97268
CA
207RP1001X
Pulmonary Disease Physician
A102461
CA
207RP1001X
Pulmonary Disease Physician
A82228
CA
207RP1001X
Pulmonary Disease Physician
Primary
A88722
CA
207RP1001X
Pulmonary Disease Physician
A97268
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A82228
CA
Other
Enumeration date
01/05/2015
Last updated
07/28/2016
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