Organization
PREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHNSON MD (PRESIDENT)
(207) 217-5451
Entity
Organization
Contact information
Practice address
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3706
(909) 883-1098
Mailing address
31938 TEMECULA PKWY STE A237, TEMECULA, CA 92592-6810
(714) 414-3065
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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