| Premier Health Partners Of Santa Monica | |
|
1260 15th St Ste 1415 Santa Monica CA 90404-1135 | |
| (310) 395-7471 | |
| Not Available |
| Full Name | Premier Health Partners Of Santa Monica |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 15th St Ste 1415, Santa Monica, California |
| Authorized Official Name and Position | Peter C Galier (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3105598276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Partners Of Santa Monica 1260 15th St Ste 1415 Santa Monica CA 90404-1135 Ph: (310) 395-7471 | Premier Health Partners Of Santa Monica 1260 15th St Ste 1415 Santa Monica CA 90404-1135 Ph: (310) 395-7471 |
| NPI Number | 1720450117 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 4587965058 |
|---|---|
| Medicare Enrollment ID | O20151231001324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720450117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G074741 (California) | Primary |
| Provider Name | Malena Shu-chuan Law |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497768725 PECOS PAC ID: 9234286907 Enrollment ID: I20090415000402 |
| Provider Name | Peter C Galier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043245640 PECOS PAC ID: 0042357634 Enrollment ID: I20091030000500 |
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