Healthcare Provider Details

I. General information

NPI: 1912703539
Provider Name (Legal Business Name): PRIME CONSULT AND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 N HARBOR BLVD STE 120
FULLERTON CA
92832-1323
US

IV. Provider business mailing address

1945 PALO VERDE AVE STE 207
LONG BEACH CA
90815-3445
US

V. Phone/Fax

Practice location:
  • Phone: 562-354-0002
  • Fax: 562-352-0222
Mailing address:
  • Phone: 562-354-0002
  • Fax: 562-354-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JAEHYUN CHO
Title or Position: PA
Credential:
Phone: 714-243-5450