Premise Health of California Medical, P.c
NPI #1598538761 in San Bruno, California
Provider Information
- NPI Number
- 1598538761
- Entity Type
- Organization
- Organization Name
- Premise Health of California Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 31, 2023
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 1100 GRUNDY LN
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-3065
- Phone
- (650) 262-1307
Authorized Official
- Name
- WILLIAM WRIGHT
- Title
- LEGAL COUNSEL
- Phone
- (615) 577-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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