Organization
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Active
Other names
Toyota Long Beach TABC OHS
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
6375 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3301
(562) 984-3365
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
08/19/2022
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