| Premise Health Of California Medical Pc | |
|
2201 Broadway Ste 101 Oakland CA 94612-3028 | |
| (510) 473-8700 | |
| (510) 473-8081 |
| Full Name | Premise Health Of California Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2201 Broadway Ste 101, Oakland, California |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of California Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of California Medical Pc 2201 Broadway Ste 101 Oakland CA 94612-3028 Ph: (510) 473-8700 |
| NPI Number | 1356095467 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 8628508827 |
|---|---|
| Medicare Enrollment ID | O20250203002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356095467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stephanie A Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447602511 PECOS PAC ID: 0042581753 Enrollment ID: I20170728002717 |
| Provider Name | Maggie Mei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538894902 PECOS PAC ID: 7214384916 Enrollment ID: I20231116001883 |
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