Organization
PULMONARY CONSULTANTS & PRIMARY CARE PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
PULMONARY CONSULTANTS & PRIMARY CARE PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK STEWART MD (PRESIDENT, AUTHORIZED OFFICIAL)
(714) 639-9401
Entity
Organization
Contact information
Practice address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Mailing address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
CA
05
—
GR0003350
—
CA
Enumeration date
08/12/2006
Last updated
07/21/2022
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