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PREMIER FAMILY MEDICINE ASSOCIATES INC NPI 1912907114


NPI Information

NPI: 1912907114
Provider Name: PREMIER FAMILY MEDICINE ASSOCIATES, INC

Other Name: PVHC AT POMONA

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1770 N ORANGE GROVE AVE
SUITE 101
POMONA, CA
ZIP 91767
Phone: (909) 469-9494
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PREMIER FAMILY MEDICINE ASSOCIATES, INC is a health service clinic center in Pomona, CA. PREMIER FAMILY MEDICINE ASSOCIATES, INC NPI is 1912907114. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pvhc At Pomona.

The provider's business location address is:

1770 N ORANGE GROVE AVE
SUITE 101
POMONA, CA
ZIP 91767-027
Phone: (909) 469-9494
Fax: (909) 620-7285

The provider's authorized official is Snezana Begovic .
The authorized official title is President and has the following contact phone number (909) 469-9494.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 12/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0083730MEDICAIDCALIFORNIA
205D0931230OTHERCALIFORNIACLIA
300127095OTHERCALIFORNIAPOMONA BUSINESS LICENSE
4CG8716OTHERRAILROAD MEDICARE
5ZZZ57392ZOTHERBLUE SHIELD OF CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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