Organization
PROSPECT MEDICAL GROUP, INC.
Active
Other names
Prospect-Graybill Med Grp
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ELDERS (SECRETARY)
(310) 943-4500
Entity
Organization
Contact information
Practice address
600 CITY PKWY W FL 10, ORANGE, CA 92868-2968
(800) 708-3230
Mailing address
600 CITY PKWY W FL 10, ORANGE, CA 92868-2968
(800) 708-3230
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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