Organization
ELITE PRIME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV YUSUPOV (CEO)
(415) 672-0040
Entity
Organization
Contact information
Practice address
6150 MISSION ST # 112, DALY CITY, CA 94014-2063
(415) 672-0040
Mailing address
6150 MISSION ST # 112, DALY CITY, CA 94014-2063
(415) 672-0040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
02/17/2026
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