| Prime Community Care, Inc. | |
|
3990 Concours 5th Floor Ontario CA 91764-7970 | |
| (909) 605-8000 | |
| Not Available |
| Full Name | Prime Community Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3990 Concours, Ontario, California |
| Authorized Official Name and Position | Rodman St. Clair (PRESIDENT) |
| Authorized Official Contact | 9096058000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Community Care, Inc. 3990 Concours 5th Floor Ontario CA 91764-7970 Ph: (909) 605-8000 | Prime Community Care, Inc. 3990 Concours 5th Floor Ontario CA 91764-7970 Ph: (909) 605-8000 |
| NPI Number | 1457612582 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457612582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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