Premise Health of California Medical, P.c
NPI #1548613474 in Los Angeles, California
Provider Information
- NPI Number
- 1548613474
- Entity Type
- Organization
- Organization Name
- Premise Health of California Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 15, 2016
- Last Updated
- Aug 25, 2022
Practice Location
- Address
- 400 WORLD WAY
- Address 2
- TERMINAL 4
- City
- Los Angeles
- State
- California
- ZIP Code
- 90045-5888
- Phone
- (310) 646-5520
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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