Organization
PREMIER HEALTH PLAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M GUZMAN (CEO)
(562) 602-1563
Entity
Organization
Contact information
Practice address
4909 LAKEWOOD BLVD, #200, LAKEWOOD, CA 90712-2405
(562) 602-1563
(562) 529-8490
Mailing address
4909 LAKEWOOD BLVD, #200, LAKEWOOD, CA 90712-2405
(562) 602-1563
(562) 529-8490
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
933 0473
CA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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