1043451446 NPI number — PREMIER HEALTHCARE MEDICAL GROUP

Table of content: (NPI 1043451446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043451446 NPI number — PREMIER HEALTHCARE MEDICAL GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER HEALTHCARE MEDICAL GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043451446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8301 S VERMONT AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90044-3470
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-778-7772
Provider Business Mailing Address Fax Number:
323-789-2673

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8301 S VERMONT AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90044-3470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-778-7772
Provider Business Practice Location Address Fax Number:
323-789-2673
Provider Enumeration Date:
03/13/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
LORENA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
323-778-7772

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  G42472 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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