Organization
PRODIGY MEDICAL SERVICE INC
Active
Organization
PRODIGY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON YAN MD (OWNER)
(951) 249-1755
Entity
Organization
Contact information
Practice address
406 9TH AVE STE 307, SAN DIEGO, CA 92101-7278
(619) 630-0125
Mailing address
29995 TECHNOLOGY DR UNIT A100, MURRIETA, CA 92563-2632
(951) 249-2755
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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