Organization
PREMIERE THERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS CARRERA RPT (CEO)
(310) 717-9401
Entity
Organization
Contact information
Practice address
11015 PARAMOUNT BLVD STE 8, DOWNEY, CA 90241-3663
(310) 717-9401
Mailing address
11015 PARAMOUNT BLVD STE 8, DOWNEY, CA 90241-3663
(310) 717-9401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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