Organization
PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE T GIPE MD (PRESIDENT AND GENERAL PARTNER)
(818) 509-2222
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
PO BOX 998, NORTH HOLLYWOOD, CA 91603-0998
(818) 509-2222
(818) 761-3458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088733
—
CA
Enumeration date
05/03/2006
Last updated
05/05/2009
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