Priromprintr, Visith

Priromprintr, Visith is an individual health care provider with primary practice located at 11441 Heacock St Suite B1, Moreno Valley CA 92557-7907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Priromprintr, Visith can be contacted via phone (951) 924-1906.

Contact Information

Primary practice address
11441 Heacock St Suite B1 Moreno Valley CA 92557-7907
Phone: (951) 924-1906
Fax: (951) 486-9196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A40164 California

Profile Details

NPI number 1013901552
LBN Legal business name Priromprintr, Visith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013901552 NPPES
California MEDICAID OOA401640

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