Healthcare Provider Details

I. General information

NPI: 1588511620
Provider Name (Legal Business Name): PRIMARY GROUP SOLUTIONS FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 W 49TH ST
LOS ANGELES CA
90062-2209
US

IV. Provider business mailing address

12100 WILSHIRE BLVD FL 8
LOS ANGELES CA
90025-7120
US

V. Phone/Fax

Practice location:
  • Phone: 310-904-6125
  • Fax: 310-878-0320
Mailing address:
  • Phone: 310-904-6125
  • Fax: 310-878-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ASIA GARNER
Title or Position: OPERATIONS MANAGER
Credential: GARNER
Phone: 310-904-6125