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Organization
PRIMEMED HOME HEALTH CARE, INC.
Active
Organization
PRIMEMED HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ AUGUSTINE (CEO)
(951) 480-5030
Entity
Organization
Contact information
Practice address
12440 FIRESTONE BLVD STE 2011, NORWALK, CA 90650-4328
(562) 204-6890
Mailing address
12440 FIRESTONE BLVD STE 2011, NORWALK, CA 90650-4328
(562) 204-6890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
01/29/2019
Last updated
09/03/2024
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