Healthcare Provider Details

I. General information

NPI: 1548342728
Provider Name (Legal Business Name): PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N EUCLID ST STE 107
ANAHEIM CA
92801-4132
US

IV. Provider business mailing address

710 N EUCLID ST STE 400
ANAHEIM CA
92801-4132
US

V. Phone/Fax

Practice location:
  • Phone: 714-778-3838
  • Fax: 714-778-1962
Mailing address:
  • Phone: 714-778-3838
  • Fax: 714-778-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MITCHELL W LEW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-517-2000