| Primehealth 360 Inc | |
|
79440 Corporate Center Dr Ste 111a La Quinta CA 92253-7243 | |
| (760) 444-1422 | |
| Not Available |
| Full Name | Primehealth 360 Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 79440 Corporate Center Dr Ste 111a, La Quinta, California |
| Authorized Official Name and Position | Nina K Maw Maw (OWNER) |
| Authorized Official Contact | 7604441422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth 360 Inc 79440 Corporate Center Dr Ste 111a La Quinta CA 92253-7243 Ph: (760) 444-1422 | Primehealth 360 Inc 79440 Corporate Center Dr Ste 111a La Quinta CA 92253-7243 Ph: (760) 444-1422 |
| NPI Number | 1184269177 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 0143656439 |
|---|---|
| Medicare Enrollment ID | O20200205000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184269177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina Khin Maw Maw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407851777 PECOS PAC ID: 0547257891 Enrollment ID: I20040428000778 |
Edward A. Ruiz Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47110 Washington St Ste 203, La Quinta, CA 92253 Phone: 760-564-9205 Fax: 760-771-6243 | |
Advanced Endoscopy Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47120 Dune Palms Rd Ste 111, La Quinta, CA 92253 Phone: 760-219-0155 | |
Werner Gonzalez Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47250 Washington St Ste A, La Quinta, CA 92253 Phone: 760-771-9437 Fax: 760-564-8581 | |
Efren F Wu Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47647 Caleo Bay Dr Ste 130, La Quinta, CA 92253 Phone: 760-360-1000 Fax: 760-610-6171 | |
Coachella Valley Digestive Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47170 Washington St, Suite 100, La Quinta, CA 92253 Phone: 760-771-1111 | |
S A Allen Md Inc A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr, #110, La Quinta, CA 92253 Phone: 760-564-3533 | |
Mohammad Yousef Alkhatib Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 79405 Highway 111 Ste 9-334, La Quinta, CA 92253 Phone: 760-863-1592 Fax: 866-544-2050 |