| Premise Health Of California Medical, P.c | |
|
4300 Hacienda Dr Pleasanton CA 94588-2722 | |
| (925) 251-6879 | |
| (925) 730-8623 |
| Full Name | Premise Health Of California Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4300 Hacienda Dr, Pleasanton, 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 Of California Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of California Medical, P.c 4300 Hacienda Dr Pleasanton CA 94588-2722 Ph: (925) 251-6879 |
| NPI Number | 1760900104 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760900104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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