SAN JOAQUIN PRIME CARE MEDICAL GROUP INC NPI 1265580500

NPI Information

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC is a family medicine in Exeter, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAN JOAQUIN PRIME CARE MEDICAL GROUP INC NPI is 1265580500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 E PINE ST
EXETER, CA
ZIP 93221-838
Phone: (559) 592-2134
Fax: (559) 592-5017

The provider's authorized official is Rita Nye .
The authorized official title is Billing Supervisor and has the following contact phone number (559) 783-1181.

The CLIA number assigned to this NPI record is 05D0704433 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 4/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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