# PRIME MED GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134898844
- **Authorized official:** ANDREW PASCUAL (PRESIDENT)
- **Authorized official phone:** (562) 508-7123

## Contact information

- **Practice address:** 13132 STUDEBAKER RD STE 7, NORWALK, CA 90650-2562
- **Practice address phone:** (562) 525-7118
- **Practice address fax:** (562) 991-6130
- **Mailing address:** 20430 STARSHINE RD, WALNUT, CA 91789-3539
- **Mailing address phone:** (562) 508-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 05/20/2022