Organization
PPM CALIFORNIA LLC
Active
Organization
PPM CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
1470 CIVIC CT STE 310A, CONCORD, CA 94520-5230
(888) 253-6598
(801) 931-2263
Mailing address
1916 N 700 W STE 110, LAYTON, UT 84041-5754
(888) 253-6598
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
04/02/2026
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