Prisma Care, A Medical Corporation

NPI 1093809139 - Internal Medicine - 207R00000X

NPI Details
NPI 1093809139
Enumeration Date 10/03/2006
Last Updated 07/15/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSE R JOSE
Position PRESIDENT
Phone (619) 575-5000
Fax (619) 575-5060
Practice Location
2648 MAIN ST
SUITE #A
CHULA VISTA CA, 91911-4664, US
Phone (619) 575-5000
Fax (619) 575-5060
Business Location
2648 MAIN ST
SUITE #A
CHULA VISTA CA, 91911-4664, US
Phone (619) 575-5000
Fax (619) 575-5060
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A43301
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According to our database, Prisma Care, A Medical Corporation NPI is 1093809139, taxonomy code is 207R00000X and license number is A43301, license state is located at California. Prisma Care, A Medical Corporation physically located at 2648 Main St, Chula Vista CA, 91911-4664. NPI Number 1033115704 has the healthcare provider type.

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1093809139 NPI number is provided on an as is basis without warranty of any kind. 1093809139 is maintained by the National Plan & Provider Enumeration System. The contents of Prisma Care, A Medical Corporation are for informational purposes only.