# PREMIUM HEALTH OC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831712496
- **Authorized official:** ALAN MOHAJER (DIRECTOR)
- **Authorized official phone:** (949) 408-1000

## Contact information

- **Practice address:** 22 ODYSSEY STE 240, IRVINE, CA 92618-7700
- **Practice address phone:** (888) 700-0750
- **Mailing address:** 1800 E GARRY AVE STE 220, SANTA ANA, CA 92705-5803
- **Mailing address phone:** (949) 408-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2020
- **Last updated:** 09/15/2023