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Prospera Group Corp
Multi-Specialty Clinic/Center in Culver City, California
NPI 1285711937

Prospera Group Corp is a Multi-Specialty Clinic/Center based in Culver City, CA and is specialized in Multi-Specialty. Prospera Group Corp practices in Culver City, CA. The NPI Number for Prospera Group Corp is 1285711937 and holds a License No. (California).

The current practice location address for Prospera Group Corp is 3831 Hughes Ave, Culver City, CA and can be reached out via phone at 310-204-6897 and via fax at 310-204-4690.

Location: 3831 Hughes Ave, Culver City, CA, 90232-2751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285711937
Provider Name
Prospera Group Corp
Credential
Provider Entity Type
Organization
Address
3831 Hughes Ave, Culver City, CA, 90232-2751
Phone Number
310-204-6897
Fax Number
310-204-4690
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285711937 05 CA
1285711937 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3831 Hughes Ave
City
Culver City
State
California
Zip
90232-2751
Phone Number
310-204-6897
Fax Number
310-204-4690
person
Provider Business Mailing Address Details
Address
3831 Hughes Ave
City
Culver City
State
California
Zip
90232-2751
Phone Number
310-204-6897
Fax Number
310-204-4690
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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