| Primary Healthcare Medical Center | |
|
6945 Van Nuys Blvd Van Nuys CA 91405-3936 | |
| (818) 809-2365 | |
| (188) 092-3648 |
| Full Name | Primary Healthcare Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 6945 Van Nuys Blvd, Van Nuys, California |
| Authorized Official Name and Position | Adrienne Grant (PRESIDENT) |
| Authorized Official Contact | 3235072387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Healthcare Medical Center 6945 Van Nuys Blvd Van Nuys CA 91405-3936 Ph: (818) 809-2365 | Primary Healthcare Medical Center 6945 Van Nuys Blvd Van Nuys CA 91405-3936 Ph: (818) 809-2365 |
| NPI Number | 1790492296 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790492296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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