Primer Healthcare | |
24950 Redlands Blvd Ste F Loma Linda CA 92354-4028 | |
(909) 283-4033 | |
(855) 621-1987 |
Full Name | Primer Healthcare |
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Speciality | Family Medicine |
Location | 24950 Redlands Blvd Ste F, Loma Linda, California |
Authorized Official Name and Position | Priscilla Naamomo Otubuah (CO-OWNER / PARTNER) |
Authorized Official Contact | 9092834033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primer Healthcare 24950 Redlands Blvd Ste F Loma Linda CA 92354-4028 Ph: (909) 283-4033 | Primer Healthcare 24950 Redlands Blvd Ste F Loma Linda CA 92354-4028 Ph: (909) 283-4033 |
NPI Number | 1861902611 |
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Provider Enumeration Date | 10/06/2017 |
Last Update Date | 05/19/2022 |
Medicare PECOS PAC ID | 6800148644 |
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Medicare Enrollment ID | O20181005002813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861902611 | NPI | - | NPPES |
95000921 | Other | CA | NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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