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Organization

PRIME MED HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REZA MESBAH MD (OWNER)
(310) 922-2446
Entity
Organization

Contact information

Practice address
14500 ROSCOE BLVD STE 215, PANORAMA CITY, CA 91402-4193
(310) 922-2446
Mailing address
14500 ROSCOE BLVD STE 215, PANORAMA CITY, CA 91402-4193

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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