| Myprime Care Inc | |
|
543 S California Ave West Covina CA 91790-3640 | |
| (626) 550-4545 | |
| Not Available |
| Full Name | Myprime Care Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 543 S California Ave, West Covina, California |
| Authorized Official Name and Position | Juan Pablo Pesqueira Gonzalez (PRESIDENT/OWNER) |
| Authorized Official Contact | 6265504545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myprime Care Inc 543 S California Ave West Covina CA 91790-3640 Ph: (626) 550-4545 | Myprime Care Inc 543 S California Ave West Covina CA 91790-3640 Ph: (626) 550-4545 |
| NPI Number | 1700692167 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700692167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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