| Blue Shield Promise Health Plan | |
|
38440 5th Street West Palmdale CA 93551 | |
| (661) 575-2725 | |
| (661) 273-2139 |
| Full Name | Blue Shield Promise Health Plan |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 38440 5th Street West, Palmdale, California |
| Authorized Official Name and Position | Kristen Cerf (PRESIDENT & CEO BLUE SHIELD CA PROM) |
| Authorized Official Contact | 5106074376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Shield Promise Health Plan 38440 5th Street West Palmdale CA 93551 Ph: (661) 575-2725 | Blue Shield Promise Health Plan 38440 5th Street West Palmdale CA 93551 Ph: (661) 575-2725 |
| NPI Number | 1134880818 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134880818 | NPI | - | NPPES |
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