Blue Shield Promise Healthplan
NPI #1578214748 in Lancaster, California
Provider Information
- NPI Number
- 1578214748
- Entity Type
- Organization
- Organization Name
- Blue Shield Promise Healthplan
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 10, 2022
- Last Updated
- Jan 10, 2022
Practice Location
- Address
- 44426 10TH STREET WEST
- Address 2
- SUITE A
- City
- Lancaster
- State
- California
- ZIP Code
- 93534
- Phone
- (661) 448-8910
Authorized Official
- Name
- KRISTEN CERF
- Title
- PRESIDENT & CEO BLUE SHIELD CA PROM
- Phone
- (510) 607-4376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pain Medicine - Pain Medicine — Pain Medicine |
| Nurse Practitioner - Primary Care — Primary Care |
| Clinic/Center - Primary Care — Primary Care |
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