NPI 1295138758

Primo Medical Spa

Organisation Health Maintenance Organization Glendale, CA

Practice location

Address: 230 N Maryland Ave STE 206a, Glendale, CA 91206-4282
Phone: (310) 621-4951

Authorised official

Name: Vincent Joseph Donato
Title: Owner
Phone: (310) 621-4951

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence G62334 (CA)

Other Health Maintenance Organization providers in California →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence CA19760 (CA)

Other Chiropractor providers in California →

Nutrition Chiropractor

Chiropractic Providers Taxonomy 111NN1001X Licence CA19760 (CA)

Registry record

NPI: 1295138758
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.