| NPI | 1700692167 |
|---|---|
| Former Legal Business Name | MY PRIME CARE |
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO PESQUEIRA GONZALEZ President/Owner 626-550-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-01-30 |