Organization
PRIME HEALTH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA EUGENIA KHALATIAN M.D. (MEDICAL DOCTOR)
(626) 444-9161
Entity
Organization
Contact information
Practice address
3228 SANTA ANITA AVE, EL MONTE, CA 91733-1360
(626) 444-9161
Mailing address
3228 SANTA ANITA AVE, EL MONTE, CA 91733-1360
(626) 444-9161
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A31083
CA
173000000X
Legal Medicine
Primary
A33207
CA
Other
Enumeration date
10/06/2006
Last updated
02/21/2013
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