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Organization
PRIMARY HEALTHCARE MEDICAL CENTER
Active
Organization
PRIMARY HEALTHCARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE GRANT M.D. (PRESIDENT)
(323) 507-2387
Entity
Organization
Contact information
Practice address
6945 VAN NUYS BLVD, VAN NUYS, CA 91405-3936
(818) 809-2365
(188) 092-3648
Mailing address
6945 VAN NUYS BLVD, VAN NUYS, CA 91405-3936
(818) 809-2365
(188) 092-3648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
03/07/2023
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