Organization
PRIME MOBILE PHYSICIANS NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZUCHUKWU OKPARA MD (PRESIDENT & CEO)
(213) 228-3538
Entity
Organization
Contact information
Practice address
28212 KELLY JOHNSON PKWY STE 200, VALENCIA, CA 91355-5090
(213) 228-3538
(818) 356-4380
Mailing address
25044 PEACHLAND AVE STE 209, NEWHALL, CA 91321-5751
(613) 837-1366
(818) 356-4380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/25/2020
Last updated
10/29/2020
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