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Organization
PRIME CARE MEDICAL SOLUTIONS INC
Active
Organization
PRIME CARE MEDICAL SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA KENNETH GROVE M.D. (PRESIDENT)
(818) 922-2140
Entity
Organization
Contact information
Practice address
5535 BALBOA BLVD STE 104, ENCINO, CA 91316-1522
(818) 922-2140
Mailing address
5535 BALBOA BLVD STE 104, ENCINO, CA 91316-1522
(818) 922-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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