| Prima Restorative And Wellness | |
|
309 W Broadway Glendale CA 91204-1301 | |
| (310) 993-9691 | |
| Not Available |
| Full Name | Prima Restorative And Wellness |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 309 W Broadway, Glendale, California |
| Authorized Official Name and Position | Anthony Ryan Miguel Aguirre (CEO) |
| Authorized Official Contact | 3109939691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Restorative And Wellness 309 W Broadway Glendale CA 91204-1301 Ph: () - | Prima Restorative And Wellness 309 W Broadway Glendale CA 91204-1301 Ph: (310) 993-9691 |
| NPI Number | 1194685479 |
|---|---|
| Provider Enumeration Date | 11/18/2025 |
| Last Update Date | 11/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194685479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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