Organization
PRIVILEGE MEDICAL, INC.
Active
Other names
Privvy Modern Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA NERISSA PRIETO MD (PRESIDENT/OWNER)
(732) 322-3260
Entity
Organization
Contact information
Practice address
1950 E 20TH ST # E523, CHICO, CA 95928-6369
(714) 720-9162
Mailing address
660 ROYCE LN, CHICO, CA 95973-8703
(732) 322-3260
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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