| San Joaquin Prime Care Medical Group Inc. | |
|
536 N Court St Visalia CA 93291-4913 | |
| (559) 592-2134 | |
| Not Available |
| Full Name | San Joaquin Prime Care Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 536 N Court St, Visalia, California |
| Authorized Official Name and Position | Stefan Pentschev (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5595922134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin Prime Care Medical Group Inc. 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 | San Joaquin Prime Care Medical Group Inc. 536 N Court St Visalia CA 93291-4913 Ph: (559) 592-2134 |
| NPI Number | 1043678576 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043678576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A043893 (California) | Primary |
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