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Organization
LEGACY PRIME INSURANCE SERVICES LLC
Active
Organization
LEGACY PRIME INSURANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIKALP KUMAR (CEO)
(914) 904-6841
Entity
Organization
Contact information
Practice address
237 RESERVE CT, SAN MARCOS, CA 92078-2054
(914) 904-6841
(877) 777-0450
Mailing address
237 RESERVE CT, SAN MARCOS, CA 92078-2054
(914) 904-6841
(877) 777-0450
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
09/22/2026
Last updated
09/22/2026
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