NPI 1255103149
Pcg Medical Institute Corp.
Practice location
- Address
- 11922 Seacrest Dr STE E, Garden Grove, CA 92840-1937
- Phone
- (657) 667-0078
- Fax
- (209) 348-5005
Authorised official
- Name
- James Phuong Minh Tran
- Title
- Chief Operation Officer
- Phone
- (714) 342-5398
Registered specialties (4)
Integrative Medicine Physician
Primary
Internal Medicine Physician
Addiction Medicine (Internal Medicine) Physician
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1255103149
- Entity type
- Organization
- NPI issued
- 25 Oct 2023
- Record last updated
- 25 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.