# HENRY W PRIBRAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538589296
- **Authorized official:** DR. HENRY W PRIBRAM MD FRCP(C) (DR)
- **Authorized official phone:** (949) 494-8420

## Contact information

- **Practice address:** 1811 OCEAN WAY, LAGUNA BEACH, CA 92651-3235
- **Practice address phone:** (949) 494-8420
- **Mailing address:** 1811 OCEAN WAY, LAGUNA BEACH, CA 92651-3235
- **Mailing address phone:** (949) 494-8420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A24152 | CA | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014