Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prim Health Services Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1174858153

Prim Health Services Inc is an MOHS-Micrographic Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5150 Wilshire Blvd Ste 603
Los Angeles, CA 90036-4303
Phone: (213) 995-5054
Fax: (213) 652-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence A72562 (CA)

Record details

NPI number1174858153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Maberry — President · (213) 995-5054
NPI enumeratedOctober 9, 2009
Last updated in NPPESOctober 9, 2009
Mailing address1317 N San Fernando Blvd, 301, Burbank, CA 91504-4236

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