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Organization
PROLIFIC HEALTH CARE, INC.
Active
Organization
PROLIFIC HEALTH CARE, INC.
Active
Other names
Prolific Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEO PAZ RAPADAS (CEO/ADMINISTRATOR)
(562) 864-2627
Entity
Organization
Contact information
Practice address
12631 IMPERIAL HWY, SUITE C-105, SANTA FE SPRINGS, CA 90670-4710
(562) 864-2627
(562) 864-2757
Mailing address
12631 IMPERIAL HWY, SUITE C-105, SANTA FE SPRINGS, CA 90670-4710
(562) 864-2627
(562) 864-2757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4980339
MEDI-CAL PIN
CA
Enumeration date
07/31/2007
Last updated
10/22/2010
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