Provider Demographics
NPI:1194978437
Name:PRIMECARE PLUS, INC.
Entity type:Organization
Organization Name:PRIMECARE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LI
Authorized Official - Middle Name:H
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-681-3515
Mailing Address - Street 1:2372 MORSE AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6234
Mailing Address - Country:US
Mailing Address - Phone:949-681-3515
Mailing Address - Fax:
Practice Address - Street 1:2372 MORSE AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6234
Practice Address - Country:US
Practice Address - Phone:949-681-3515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDIING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health