Prime Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A6453 Issued in CA

Legal business name

PRIME MEDICAL CLINIC

Practice address

24241 Hawthorne Blvd
Suite 201
Torrance, CA 90505-6504

Phone

(310) 602-5484

NPI assigned

Jul 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alejandro Gonzalez, D.O.

Title

Owner

Phone

(626) 664-1279

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1558746776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24241 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056504",
            "telephone_number": "310-602-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24241 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056504",
            "telephone_number": "310-602-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-664-1279",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6453",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHF00073209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erisa Preston, PSY.D.
• Christine Deborah Price
• Dmanda Price
• Saul Priciliano Iturralde
• Therese Maria Prieto, RN
• Prime Performance PT LLC
• Prime Surgical Center of Torrance, LLC
• Prime Therapy Services,LLC
• Jennifer Ilagan Principe
• Priority Womens Healthcare

• Internal Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.