Premier Care of Northern California
NPI #1689798621 in San Dimas, California
Provider Information
- NPI Number
- 1689798621
- Entity Type
- Organization
- Organization Name
- Premier Care of Northern California
- Primary Specialty
- Contractor
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 955 OVERLAND CT FL 2
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1718
- Phone
- (909) 971-6741
Authorized Official
- Name
- MISS NORMA E CARRILLO
- Title
- NETWORK ASSOCIATE
- Phone
- (909) 971-6741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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