# PRIME MOBILE PHYSICIANS NETWORK, INC

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

## Provider details

- **NPI number:** 1679190664
- **Authorized official:** IZUCHUKWU OKPARA MD (PRESIDENT & CEO)
- **Authorized official phone:** (213) 228-3538

## Contact information

- **Practice address:** 28212 KELLY JOHNSON PKWY STE 200, VALENCIA, CA 91355-5090
- **Practice address phone:** (213) 228-3538
- **Practice address fax:** (818) 356-4380
- **Mailing address:** 25044 PEACHLAND AVE STE 209, NEWHALL, CA 91321-5751
- **Mailing address phone:** (613) 837-1366
- **Mailing address fax:** (818) 356-4380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 10/29/2020