Organization
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Active
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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