Prima Vida Medical Clinic, Inc.

LBN: Prima Vida Medical Clinic, Inc.
Prima Vida Medical Clinic, Inc. is an health care organization with primary practice located at 8706 Imperial Hwy , Downey CA 90242-3906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Prima Vida Medical Clinic, Inc. can be contacted via phone (562) 923-8300, or through Azurin, Eleanor Verzosa via phone (562) 923-8300.

Contact Information

Primary practice address
8706 Imperial Hwy Downey CA 90242-3906
Phone: (562) 923-8300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Azurin, Eleanor Verzosa Doctor of Medicine (MD)
Phone: (562) 923-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A66742 California

Profile Details

NPI number 1407143464
LBN Legal business name Prima Vida Medical Clinic, Inc.
DBA Doing business as
Authorized official Azurin, Eleanor Verzosa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2011
Last updated Jan 2nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407143464 NPPES
California MEDICAID 1407143464

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