# PRIME HEALTHCARE SERVICES - SAN DIMAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447100748
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
- **Practice address phone:** (909) 599-6811
- **Mailing address:** 1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
- **Mailing address phone:** (909) 599-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2026
- **Last updated:** 01/28/2026