Organization
PRAMAR MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO PRADO (PRESIDENT)
(714) 563-2517
Entity
Organization
Contact information
Practice address
1775 E LINCOLN AVE, ANAHEIM, CA 92805-4366
(714) 563-2517
(714) 563-2703
Mailing address
PO BOX 11823, SANTA ANA, CA 92711-1823
(714) 563-2517
(714) 563-2703
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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