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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
MS. MONICA LEE GRALIAN PA-C (PRESIDENT/OWNER/ PA-C)
(530) 941-1017
Entity
Organization
Contact information
Practice address
405 SOUTH ST STE F, REDDING, CA 96001-2101
(530) 241-1095
Mailing address
3335 PLACER ST, SUITE 207, REDDING, CA 96001-2364
(530) 241-1095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
51427
CA
363AM0700X
Medical Physician Assistant
51427
CA
363AS0400X
Surgical Physician Assistant
51427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790108959
NON MEDICARE
CA
Enumeration date
03/03/2017
Last updated
10/28/2020
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