| Premise Health Of California Medical, P.c. | |
|
4400 N 1st St San Jose CA 95134-1257 | |
| (888) 926-9385 | |
| (408) 904-7225 |
| Full Name | Premise Health Of California Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4400 N 1st St, San Jose, California |
| Authorized Official Name and Position | William Wright (SECRETARY) |
| Authorized Official Contact | 6155775893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of California Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of California Medical, P.c. 4400 N 1st St San Jose CA 95134-1257 Ph: (888) 926-9385 |
| NPI Number | 1992572564 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992572564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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