Organization
PRIME VALLEY MEDICAL CENTER INC
Active
Organization
PRIME VALLEY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KING NINO DIAZ (NP)
(909) 217-8633
Entity
Organization
Contact information
Practice address
17541 CHATSWORTH ST, GRANADA HILLS, CA 91344-5720
(909) 217-8633
Mailing address
17541 CHATSWORTH ST, GRANADA HILLS, CA 91344-5720
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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