Active NPI
Pacific Investment Group LLC
- Primary Care Clinic/Center
- Redford, MI
National Provider Identifier
1275786493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hadi Dourra, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Redford, MI
- NPI 1003975517
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.