| Premise Health Wellness Center- Oakland | |
|
2201 Broadway Ste 101 Oakland CA 94612-3028 | |
| (510) 473-8700 | |
| (510) 473-8081 |
| Full Name | Premise Health Wellness Center- Oakland |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2201 Broadway Ste 101, Oakland, California |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Wellness Center- Oakland 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Wellness Center- Oakland 2201 Broadway Ste 101 Oakland CA 94612-3028 Ph: (510) 473-8700 |
| NPI Number | 1356095467 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356095467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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