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PRODIGY MEDICAL SERVICE INC
NPI 1295420743
Clinic/Center - Health Service in San Diego, CA

Active since April 10, 2023
406 9TH AVE STE 307, SAN DIEGO, CA 92101(619) 630-0125 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prodigy Medical Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGY MEDICAL SERVICE INC (NPI 1295420743) is a healthcare organization registered as a health service in San Diego, California and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Murrieta and lists Leon Yan, Owner, as its authorized official.

NPPES Registry Identity

NPI1295420743
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePRODIGY MEDICAL SERVICE INC
Location Address406 9TH AVE STE 307San Diego, CA 92101-7278
Mailing Address29995 Technology Dr Unit A100Murrieta, CA 92563-2632 · (951) 249-2755
Phone(619) 630-0125
Organization SubpartNo
Authorized OfficialLeon YanOwner · (951) 249-1755
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1295420743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
406 9TH AVE STE 307, San Diego, CA 92101
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Secondary Practice Location 1

Location 129995 Technology Dr Unit A100Murrieta, CA 92563-2632 · Phone (951) 412-1610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigy Medical Service Inc's NPI number?

The NPI number for Prodigy Medical Service Inc is 1295420743. It was assigned to this organization in the NPPES registry on April 10, 2023.

Where is Prodigy Medical Service Inc located?

Prodigy Medical Service Inc is located at 406 9th Ave Ste 307, San Diego, CA 92101. The listed phone number is (619) 630-0125.

What is Prodigy Medical Service Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Prodigy Medical Service Inc was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.