Provider Demographics
NPI:1447267158
Name:PLUEMER, JAMES G (ATC, PT, CSCS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:PLUEMER
Suffix:
Gender:M
Credentials:ATC, PT, CSCS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3004 E LAKE HILL DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1910
Mailing Address - Country:US
Mailing Address - Phone:949-824-7633
Mailing Address - Fax:949-824-1091
Practice Address - Street 1:UC IRVINE SPORTS MEDICINE
Practice Address - Street 2:209 CRAWFORD HALL
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-4500
Practice Address - Country:US
Practice Address - Phone:949-824-7633
Practice Address - Fax:949-824-1091
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT166862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer