| NPI | 1629022561 |
|---|---|
| Doing Business As | PRIMELIFE MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | CAESAR LOCSIN IBANEZ CEO 916-681-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A64505) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-05-21 |