Organization
PIMG, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Centre for Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE ANDREW KOENIG MD (MEDICAL DIRECTOR)
(858) 675-3100
Entity
Organization
Contact information
Practice address
15706 POMERADO RD, POWAY, CA 92064-2067
(858) 521-0061
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
07/20/2007
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