Organization Active NPI

Pacific Investment Group LLC

  • Primary Care Clinic/Center
  • Redford, MI
National Provider Identifier
1275786493
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PACIFIC INVESTMENT GROUP LLC
Practice address
27144 Joy Rd
Redford, MI 48239-2368
Phone
(313) 410-6003
Fax
(313) 638-3800
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hadi Dourra, M.DNPI 1003975517
Title
Medical Director
Phone
(313) 410-6003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

27144 Joy Rd
Redford, MI 48239-2368

Mailing address

27144 Joy Rd
Redford, MI 48239-2368
Phone (313) 410-6003

Other names 1

  • Primary Choice Physicians Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1275786493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27144 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392368",
            "telephone_number": "313-410-6003",
            "fax_number": "313-937-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27144 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392368",
            "telephone_number": "313-410-6003",
            "fax_number": "313-638-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "DOURRA",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-410-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Choice Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.