Search › California › 363A00000X
Prim Ky, PA-C
NPI 1487157020 · on the registry since 2018 · sole proprietor
Practice
- Address
- 325 Gellert Blvd
Daly City, CA 94015 - Phone
- (650) 270-2394
- Clinicians at this address
- 6
Additional practice sites
- 1350 Marvin Rd Ne Ste D, Lacey, WA
- 1007 39th Ave Se, Puyallup, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California