| Pro Vital Medical Group, Inc | |
|
1028 W El Norte Pkwy Escondido CA 92026-3341 | |
| (760) 670-4370 | |
| Not Available |
| Full Name | Pro Vital Medical Group, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1028 W El Norte Pkwy, Escondido, California |
| Authorized Official Name and Position | Mohammad Qureashi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7606704370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Vital Medical Group, Inc 1028 W El Norte Pkwy Escondido CA 92026-3341 Ph: (760) 670-4370 | Pro Vital Medical Group, Inc 1028 W El Norte Pkwy Escondido CA 92026-3341 Ph: (760) 670-4370 |
| NPI Number | 1134927858 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134927858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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