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Organization
PREMIER HEALTHCARE MEDICAL GROUP
Active
Organization
PREMIER HEALTHCARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA RODRIGUEZ (ADMINISTRATOR)
(323) 778-7772
Entity
Organization
Contact information
Practice address
8301 S VERMONT AVE, SUITE A, LOS ANGELES, CA 90044-3470
(323) 778-7772
(323) 789-2673
Mailing address
8301 S VERMONT AVE, SUITE A, LOS ANGELES, CA 90044-3470
(323) 778-7772
(323) 789-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G42472
CA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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