PRODIGY MEDICAL SERVICE INC is a health service clinic center in San Diego, CA. PRODIGY MEDICAL SERVICE INC NPI is 1295420743. The provider is registered as an organization entity type.
The provider's business location address is:
406 9TH AVE STE 307 SAN DIEGO, CA ZIP 92101-278 Phone: (619) 630-0125
The provider's authorized official is Leon Yan . The authorized official title is Owner and has the following contact phone number (951) 249-1755.
The enumeration date for this NPI number is 4/10/2023 and was last updated on 4/10/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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