Prime 5 Medical Group Inc

LBN: Prime 5 Medical Group Inc
Prime 5 Medical Group Inc is an health care organization with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as the primary health care specialty. Prime 5 Medical Group Inc can be contacted via phone (310) 423-3000, or through Shamekh, Pejman David via phone (310) 279-9328.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shamekh, Pejman David Doctor of Medicine (MD)
Phone: (310) 279-9328

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1154947695
LBN Legal business name Prime 5 Medical Group Inc
DBA Doing business as
Authorized official Shamekh, Pejman David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2020
Last updated Jun 21st, 2020 - about 4 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 1154947695 NPPES
California Other C4602133 BUSINESS LICENSE

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