Organization
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Active
Other names
Qualcomm Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
5535 MOREHOUSE AVE ,S-274, SAN DIEGO, CA 92121-1710
(858) 651-5918
(858) 651-5953
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0169
(877) 895-9013
(858) 651-5953
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
08/19/2022
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