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Organization
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Active
Organization
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE COVNER M.D. (PRESIDENT)
(858) 202-0011
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 355, LA JOLLA, CA 92037-1224
(858) 202-0011
(858) 202-0055
Mailing address
9850 GENESEE AVE, SUITE 355, LA JOLLA, CA 92037-1224
(858) 202-0011
(858) 202-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
B1984005592
CA
Other
Enumeration date
09/06/2005
Last updated
05/19/2010
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