Pacific Grove Medical Clinic, INC

NPI #1962585133 in Pacific Grove, California

Provider Information

NPI Number: 1962585133
Entity Type: Organization
Organization Name: Pacific Grove Medical Clinic, INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 23, 2006
Last Updated: Jan 15, 2008

Practice Location

Address: 505 CENTRAL AVE
Address 2: STE 201
City: Pacific Grove
State: California
ZIP Code: 93950
Phone: (831) 645-9990

Authorized Official

Name: MICHAEL MANIG, MD
Title: PRESIDENT OWNER
Phone: (831) 645-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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