Organization
HENRY W PRIBRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY W PRIBRAM MD FRCP(C) (DR)
(949) 494-8420
Entity
Organization
Contact information
Practice address
1811 OCEAN WAY, LAGUNA BEACH, CA 92651-3235
(949) 494-8420
Mailing address
1811 OCEAN WAY, LAGUNA BEACH, CA 92651-3235
(949) 494-8420
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A24152
CA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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