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Organization
PRIME PATH MEDICAL GROUP MD
Active
Organization
PRIME PATH MEDICAL GROUP MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON ALEXANDER BRAGG (MD, CO-OWNER, PREDIDENT)
(747) 800-8005
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE STE 323, GLENDALE, CA 91204-3858
(747) 200-6948
(747) 800-8005
Mailing address
1500 S CENTRAL AVE STE 323, GLENDALE, CA 91204-3858
(747) 200-6948
(747) 800-8005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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