Prime Family Clinic Inc | |
1110 S Glendale Ave E Glendale CA 91205-5617 | |
(818) 945-5502 | |
(818) 945-5595 |
Full Name | Prime Family Clinic Inc |
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Speciality | General Practice |
Location | 1110 S Glendale Ave, Glendale, California |
Authorized Official Name and Position | Omar E Espinosa (PRESIDENT/CEO) |
Authorized Official Contact | 8189455502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Family Clinic Inc 1110 S Glendale Ave E Glendale CA 91205-5617 Ph: (818) 945-5502 | Prime Family Clinic Inc 1110 S Glendale Ave E Glendale CA 91205-5617 Ph: (818) 945-5502 |
NPI Number | 1942682596 |
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Provider Enumeration Date | 06/19/2015 |
Last Update Date | 06/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942682596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A23122 (California) | Primary |
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