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Organization
PROMESA PRIMARY CARE, LLC
Active
Organization
PROMESA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR GOMEZ (ADMINISTRATOR)
(951) 213-6505
Entity
Organization
Contact information
Practice address
3978 BROCKTON AVE, RIVERSIDE, CA 92501-3203
(951) 213-6505
(951) 213-6549
Mailing address
3978 BROCKTON AVE, RIVERSIDE, CA 92501-3203
(951) 213-6505
(951) 213-6549
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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