| NPI | 1710763875 |
|---|---|
| Doing Business As | PRIMARY CARE CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JANE H COX Cox Credentialing 949-664-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |