Pimg, a Professional Medical Corporation

NPI #1780620203 in Poway, California

Provider Information

NPI Number: 1780620203
Entity Type: Organization
Organization Name: Pimg, a Professional Medical Corporation
Primary Specialty: Surgery
Enumeration Date: Jun 22, 2006
Last Updated: Jul 20, 2007

Practice Location

Address: 15706 POMERADO RD
City: Poway
State: California
ZIP Code: 92064-2067
Phone: (858) 521-0061

Authorized Official

Name: LAWRENCE ANDREW KOENIG, MD
Title: MEDICAL DIRECTOR
Phone: (858) 675-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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