PRIME PARTNERS IPA MEDICAL GROUP NPI 1720268543

NPI Information

NPI: 1720268543
Provider Name: PRIME PARTNERS IPA MEDICAL GROUP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
25470 MEDICAL CENTER DR
SUITE 204
MURRIETA, CA
ZIP 92562
Phone: (951) 973-7294
Get Directions

PRIME PARTNERS IPA MEDICAL GROUP is a cardiovascular disease internal medicine in Murrieta, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRIME PARTNERS IPA MEDICAL GROUP NPI is 1720268543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25470 MEDICAL CENTER DR
SUITE 204
MURRIETA, CA
ZIP 92562-900
Phone: (951) 973-7294
Fax: (951) 973-7299

The provider's authorized official is Fetsus Dada .
The authorized official title is President and has the following contact phone number (951) 973-7294.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	A40801	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2506434	OTHER	CALIFORNIA	ARTICLES OF CORPORATION

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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