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Organization

PREMIERONE PLUS ACO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY CHOI (CEO)
(213) 434-0999
Entity
Organization

Contact information

Practice address
1210 N JEFFERSON ST STE D, ANAHEIM, CA 92807-1630
(714) 495-4392
Mailing address
1210 N JEFFERSON ST STE D, ANAHEIM, CA 92807-1630
(714) 495-4392

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
02/01/2019
Last updated
02/01/2019
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