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1730200221
PROSPECT HEALTHSOURCE MEDICAL GROUP INC
ORANGE, CA
NPI
1730200221
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Entity Type
Organization
Authorized Contact
LILY KAM
CFO
714-796-5900
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2007-04-02
Last Update Date
2014-10-22
Business Address
PROSPECT HEALTHSOURCE MEDICAL GROUP INC
600 CITY PKWY W SUITE 800
ORANGE, CA 92868-2968
Phone number: 714-796-5900
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Mailing Address
PROSPECT HEALTHSOURCE MEDICAL GROUP INC
600 CITY PKWY W SUITE 800
ORANGE, CA 92868-2968
Phone number: 714-796-5900
Copy
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