PROVIDENT PRIMARY CARE INC is a primary care clinic center in Merced, CA. PROVIDENT PRIMARY CARE INC NPI is 1154785517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3349 G ST STE C
MERCED, CA
ZIP 95340-978
Phone: (209) 580-4638
Fax: (209) 580-4163
The provider's authorized official is Jerry Tiu .
The authorized official title is Ceo and has the following contact phone number (209) 384-4400.
The CLIA number assigned to this NPI record is 05D1068686 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/11/2016 and was last updated on 10/12/2021.