Prime Mdcare Inc | |
20430 Starshine Rd Walnut CA 91789-3539 | |
(310) 910-7329 | |
(310) 388-0126 |
Full Name | Prime Mdcare Inc |
---|---|
Speciality | Family Medicine |
Location | 20430 Starshine Rd, Walnut, California |
Authorized Official Name and Position | Prode P Pascual (PRESIDENT/CEO) |
Authorized Official Contact | 3109107329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime Mdcare Inc 20430 Starshine Rd Walnut CA 91789-3539 Ph: (310) 910-7329 | Prime Mdcare Inc 20430 Starshine Rd Walnut CA 91789-3539 Ph: (310) 910-7329 |
NPI Number | 1902659733 |
---|---|
Provider Enumeration Date | 04/10/2024 |
Last Update Date | 04/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902659733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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