| 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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