| Premise Health Of California Medical, P.c | |
| 
					1100 Grundy Ln San Bruno CA 94066-3065  | |
| (650) 262-1307 | |
| (650) 653-2510 | 
| Full Name | Premise Health Of California Medical, P.c | 
|---|---|
| Speciality | Clinic/center - Multi-specialty | 
| Location | 1100 Grundy Ln, San Bruno, California | 
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) | 
| Authorized Official Contact | 6155775893 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premise Health Of California Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () -  | Premise Health Of California Medical, P.c 1100 Grundy Ln San Bruno CA 94066-3065 Ph: (650) 262-1307  | 
| NPI Number | 1598538761 | 
|---|---|
| Provider Enumeration Date | 10/31/2023 | 
| Last Update Date | 10/31/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598538761 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
One Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Grundy Ln, San Bruno, CA 94066 Phone: 650-227-7890 Fax: 650-227-1107  | |
International Herbal Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 San Bruno Ave W Rm 3, San Bruno, CA 94066 Phone: 650-875-2378  |