| Prima Vida Medical Clinic, Inc. | |
|
8706 Imperial Hwy Downey CA 90242-3906 | |
| (562) 923-8300 | |
| Not Available |
| Full Name | Prima Vida Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8706 Imperial Hwy, Downey, California |
| Authorized Official Name and Position | Eleanor Verzosa Azurin (PRESIDENT) |
| Authorized Official Contact | 5629238300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Vida Medical Clinic, Inc. 8706 Imperial Hwy Downey CA 90242-3906 Ph: (562) 923-8300 | Prima Vida Medical Clinic, Inc. 8706 Imperial Hwy Downey CA 90242-3906 Ph: (562) 923-8300 |
| NPI Number | 1407143464 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407143464 | NPI | - | NPPES |
| 1407143464 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A66742 (California) | Primary |
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