Provider Demographics
NPI:1538932777
Name:DR. PM CORP.
Entity type:Organization
Organization Name:DR. PM CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MASHAYEKHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-203-3414
Mailing Address - Street 1:300 W BEACH ST UNIT 1502
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8450
Mailing Address - Country:US
Mailing Address - Phone:619-203-3414
Mailing Address - Fax:
Practice Address - Street 1:3230 WARING CT STE C
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4509
Practice Address - Country:US
Practice Address - Phone:858-224-1866
Practice Address - Fax:858-207-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty