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Henry W Pribram
Medical Specialty Clinic/Center in Laguna Beach, California
NPI 1538589296

Henry W Pribram is a Medical Specialty Clinic/Center based in Laguna Beach, CA and is specialized in Medical Specialty. Henry W Pribram practices in Laguna Beach, CA. The NPI Number for Henry W Pribram is 1538589296 and holds a License No. A24152 (California).

The current practice location address for Henry W Pribram is 1811 Ocean Way, Laguna Beach, CA and can be reached out via phone at 949-494-8420.

Location: 1811 Ocean Way, Laguna Beach, CA, 92651-3235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538589296
Provider Name
Henry W Pribram
Credential
Provider Entity Type
Organization
Address
1811 Ocean Way, Laguna Beach, CA, 92651-3235
Phone Number
949-494-8420
Fax Number
Provider Enumeration Date
04/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1811 Ocean Way
City
Laguna Beach
State
California
Zip
92651-3235
Phone Number
949-494-8420
Fax Number
person
Provider Business Mailing Address Details
Address
1811 Ocean Way
City
Laguna Beach
State
California
Zip
92651-3235
Phone Number
949-494-8420
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A24152 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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