Organization
PRIME FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR E ESPINOSA M.D. (PRESIDENT/CEO)
(818) 945-5502
Entity
Organization
Contact information
Practice address
1110 S GLENDALE AVE, E, GLENDALE, CA 91205-5617
(818) 945-5502
(818) 945-5595
Mailing address
1110 S GLENDALE AVE, E, GLENDALE, CA 91205-5617
(818) 945-5502
(818) 945-5595
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A23122
CA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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