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Organization
PREMIUM HEALTH OC INC
Active
Organization
PREMIUM HEALTH OC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MOHAJER (DIRECTOR)
(949) 408-1000
Entity
Organization
Contact information
Practice address
22 ODYSSEY STE 240, IRVINE, CA 92618-7700
(888) 700-0750
Mailing address
1800 E GARRY AVE STE 220, SANTA ANA, CA 92705-5803
(949) 408-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
09/15/2023
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