| Prime Medical Clinic | |
|
24241 Hawthorne Blvd Suite 201 Torrance CA 90505-6504 | |
| (310) 602-5484 | |
| Not Available |
| Full Name | Prime Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 24241 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Alejandro Gonzalez (OWNER) |
| Authorized Official Contact | 6266641279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Clinic 24241 Hawthorne Blvd Suite 201 Torrance CA 90505-6504 Ph: (310) 602-5484 | Prime Medical Clinic 24241 Hawthorne Blvd Suite 201 Torrance CA 90505-6504 Ph: (310) 602-5484 |
| NPI Number | 1558746776 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558746776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6453 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | RHF00073209 (California) | Secondary |
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