Premise Health Of California Medical, P.c | |
1100 Grundy Ln San Bruno CA 94066-3065 | |
(650) 262-1307 | |
(650) 653-2510 |
Full Name | Premise Health Of California Medical, P.c |
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Speciality | Clinic/center - Multi-specialty |
Location | 1100 Grundy Ln, San Bruno, California |
Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
Authorized Official Contact | 6155775893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premise Health Of California Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of California Medical, P.c 1100 Grundy Ln San Bruno CA 94066-3065 Ph: (650) 262-1307 |
NPI Number | 1598538761 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 10/31/2023 |
Identifier | Type | State | Issuer |
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1598538761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Grundy Ln, San Bruno, CA 94066 Phone: 650-227-7890 Fax: 650-227-1107 | |
International Herbal Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 San Bruno Ave W Rm 3, San Bruno, CA 94066 Phone: 650-875-2378 |