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Organization
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Active
Other names
Health for Life Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1900 PRAIRIE CITY RD # FM7-95, FOLSOM, CA 95630-9501
(916) 377-9909
(916) 357-7773
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
08/25/2022
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