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PRIME MED HEALTH NPI 1750040663


NPI Information

NPI: 1750040663
Provider Name: PRIME MED HEALTH
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
14500 ROSCOE BLVD STE 215
PANORAMA CITY, CA
ZIP 91402
Phone: (310) 922-2446
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PRIME MED HEALTH is an adult medicine family medicine in Panorama City, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PRIME MED HEALTH NPI is 1750040663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14500 ROSCOE BLVD STE 215
PANORAMA CITY, CA
ZIP 91402-193
Phone: (310) 922-2446

The provider's authorized official is Reza Mesbah .
The authorized official title is Owner and has the following contact phone number (310) 922-2446.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 12/8/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.