Pacific Empire Physical Medicine and Healthcare INC

NPI #1912385451 in Chino, California

Provider Information

NPI Number: 1912385451
Entity Type: Organization
Organization Name: Pacific Empire Physical Medicine and Healthcare INC
Primary Specialty: General Practice
Enumeration Date: May 17, 2015
Last Updated: Sep 21, 2015

Practice Location

Address: 4590 RIVERSIDE DR
City: Chino
State: California
ZIP Code: 91710-3980
Phone: (909) 464-9880

Authorized Official

Name: MR. ALI HALATI, MD
Title: DIRECTOR
Phone: (909) 464-9880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Nurse Specialist - Family Health — Family Health	364SF0001X
General Practice	208D00000X	Primary

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