Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pacific Palisades Medical Group Inc

Organization Family Medicine Physician · NPI 1215037049

Pacific Palisades Medical Group Inc provides Family Medicine Physician services in Pacific Palisades, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3619
Phone: (310) 459-7736
Fax: (310) 230-0284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215037049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Johnson — President · (310) 459-7736
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address15200 W Sunset Blvd, Suite 107, Pacific Palisades, CA 90272-3619

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