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Organization
PRIME MDCARE INC
Active
Organization
PRIME MDCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRODE P PASCUAL MD (PRESIDENT/CEO)
(310) 910-7329
Entity
Organization
Contact information
Practice address
20430 STARSHINE RD, WALNUT, CA 91789-3539
(310) 910-7329
(310) 388-0126
Mailing address
20430 STARSHINE RD, WALNUT, CA 91789-3539
(310) 910-7329
(310) 388-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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