| Premier Healthcare Of California Inc | |
|
405 South St Ste F Redding CA 96001-2101 | |
| (530) 241-1095 | |
| Not Available |
| Full Name | Premier Healthcare Of California Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 405 South St Ste F, Redding, California |
| Authorized Official Name and Position | Monica Lee Gralian (PRESIDENT/OWNER/ PA-C) |
| Authorized Official Contact | 5309411017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Healthcare Of California Inc 3335 Placer St Suite 207 Redding CA 96001-2364 Ph: (530) 241-1095 | Premier Healthcare Of California Inc 405 South St Ste F Redding CA 96001-2101 Ph: (530) 241-1095 |
| NPI Number | 1952841363 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 0840562187 |
|---|---|
| Medicare Enrollment ID | O20170821002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952841363 | NPI | - | NPPES |
| 1790108959 | Other | CA | NON MEDICARE |
| Provider Name | Joshua A Travis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998217 PECOS PAC ID: 1557587508 Enrollment ID: I20140728001136 |
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