Organization
PREMIER PATIENT CARE IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANH V NGUYEN (ADMINISTRATOR)
(855) 548-0911
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD STE 300, GARDEN GROVE, CA 92840-5834
(855) 548-0911
Mailing address
12828 HARBOR BLVD STE 300, GARDEN GROVE, CA 92840-5834
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
03/18/2021
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