| Pine Medical Care | |
|
13630 Van Nuys Blvd Ste 107 Pacoima CA 91331-3668 | |
| (323) 455-3595 | |
| (323) 405-0255 |
| Full Name | Pine Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 13630 Van Nuys Blvd Ste 107, Pacoima, California |
| Authorized Official Name and Position | Stephen Pine (OWNER) |
| Authorized Official Contact | 3234553595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Medical Care 13630 Van Nuys Blvd Ste 107 Pacoima CA 91331-3668 Ph: (323) 455-3595 | Pine Medical Care 13630 Van Nuys Blvd Ste 107 Pacoima CA 91331-3668 Ph: (323) 455-3595 |
| NPI Number | 1942007539 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942007539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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