Organization
PRIME WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LEE (PRESIDENT)
(949) 627-0909
Entity
Organization
Contact information
Practice address
1950 E CHAPMAN AVE STE 2, FULLERTON, CA 92831-4141
(714) 525-5766
Mailing address
1950 E CHAPMAN AVE STE 2, FULLERTON, CA 92831-4141
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
34054
CA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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