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PRIMARY ACCESS MEDICAL GROUP INC NPI 1801032164


NPI Information

NPI: 1801032164
Provider Name: PRIMARY ACCESS MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
273 E SOUTH ST
LONG BEACH, CA
ZIP 90805
Phone: (562) 728-9600
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PRIMARY ACCESS MEDICAL GROUP, INC is a general practice in Long Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIMARY ACCESS MEDICAL GROUP, INC NPI is 1801032164. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

273 E SOUTH ST
LONG BEACH, CA
ZIP 90805-631
Phone: (562) 728-9600
Fax: (562) 422-9011

The provider's authorized official is Brent Pratley .
The authorized official title is Medical Director and has the following contact phone number (562) 728-9600.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.


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
1207R00000XInternal MedicineA54374CALIFORNIANo
2208D00000XGeneral PracticeA36774CALIFORNIAYes

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

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