| Pcg Medical Institute Corp. | |
|
11922 Seacrest Dr Ste E Garden Grove CA 92840-1937 | |
| (657) 667-0078 | |
| (209) 348-5005 |
| Full Name | Pcg Medical Institute Corp. |
|---|---|
| Speciality | Integrative Medicine |
| Location | 11922 Seacrest Dr Ste E, Garden Grove, California |
| Authorized Official Name and Position | James Phuong Minh Tran (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 7143425398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcg Medical Institute Corp. 11922 Seacrest Dr Ste E Garden Grove CA 92840-1937 Ph: (657) 667-0078 | Pcg Medical Institute Corp. 11922 Seacrest Dr Ste E Garden Grove CA 92840-1937 Ph: (657) 667-0078 |
| NPI Number | 1255103149 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 6406209592 |
|---|---|
| Medicare Enrollment ID | O20240124004583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255103149 | NPI | - | NPPES |
| Provider Name | James P Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790737559 PECOS PAC ID: 6103899109 Enrollment ID: I20040817001485 |
| Provider Name | Michael C Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033122601 PECOS PAC ID: 0345246393 Enrollment ID: I20061013000396 |
| Provider Name | Hoa H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427285394 PECOS PAC ID: 2365692019 Enrollment ID: I20140702001869 |
| Provider Name | Tony T Ton-that |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013904259 PECOS PAC ID: 4082708086 Enrollment ID: I20240201003537 |
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