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Organization
PREMIER HEALTHCARE OF CALIFORNIA INC
Active
Organization
PREMIER HEALTHCARE OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA GRALIAN PA (PA/PRESIDENT)
(530) 941-1017
Entity
Organization
Contact information
Practice address
448 REDCLIFF DR STE 120, REDDING, CA 96002-0159
(530) 941-1017
(530) 241-1095
Mailing address
3335 PLACER ST STE 207, REDDING, CA 96001-2364
(530) 941-1017
(530) 241-1095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
09/17/2018
Last updated
09/17/2018
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