Premise Health of California Medical, P.c

NPI #1538809819 in Folsom, California

Provider Information

NPI Number: 1538809819
Entity Type: Organization
Organization Name: Premise Health of California Medical, P.c
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 1900 PRAIRIE CITY RD # FM7-95
City: Folsom
State: California
ZIP Code: 95630-9501
Phone: (916) 377-9909

Authorized Official

Name: JON LEIZMAN
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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