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Organization
PRIME MED GROUP INC
Active
Organization
PRIME MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PASCUAL (PRESIDENT)
(562) 508-7123
Entity
Organization
Contact information
Practice address
13132 STUDEBAKER RD STE 7, NORWALK, CA 90650-2562
(562) 525-7118
(562) 991-6130
Mailing address
20430 STARSHINE RD, WALNUT, CA 91789-3539
(562) 508-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/08/2021
Last updated
05/20/2022
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