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Organization
PREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC.
Active
Organization
PREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHNSON MD (PRESIDENT)
(207) 217-5451
Entity
Organization
Contact information
Practice address
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3706
(909) 883-1098
Mailing address
31938 TEMECULA PKWY STE A237, TEMECULA, CA 92592-6810
(714) 414-3065
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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