# PRAMAR MEDICAL CLINIC INC.

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

## Provider details

- **NPI number:** 1194965798
- **Authorized official:** GERARDO PRADO (PRESIDENT)
- **Authorized official phone:** (714) 563-2517

## Contact information

- **Practice address:** 1775 E LINCOLN AVE, ANAHEIM, CA 92805-4366
- **Practice address phone:** (714) 563-2517
- **Practice address fax:** (714) 563-2703
- **Mailing address:** PO BOX 11823, SANTA ANA, CA 92711-1823
- **Mailing address phone:** (714) 563-2517
- **Mailing address fax:** (714) 563-2703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 02/23/2009