Organization
PRIME 5 MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN DAVID SHAMEKH MD (PRESIDENT)
(818) 857-4466
Entity
Organization
Contact information
Practice address
8631 W 3RD ST STE 540E, LOS ANGELES, CA 90048-5901
(310) 423-3000
Mailing address
PO BOX 6033, BEVERLY HILLS, CA 90212-1033
(818) 857-4466
(310) 277-3659
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4602133
BUSINESS LICENSE
CA
Enumeration date
06/21/2020
Last updated
04/27/2026
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