Pvhc@ Laverne
LBN: Premier Family Medicine Associates, Inc
Pvhc@ Laverne is an health care organization with primary practice located at 2333 Foothill Blvd Ste B , La Verne CA 91750-3027. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Premier Family Medicine Associates, Inc can be contacted via phone (909) 392-6501, or through Deanda, Michael via phone (909) 865-9501.
Contact Information
Primary practice address
2333 Foothill Blvd Ste B
La Verne CA 91750-3027
Phone: (909) 392-6501
Fax: (909) 469-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X |
Profile Details
| NPI number | 1033634373 |
|---|---|
| LBN Legal business name | Premier Family Medicine Associates, Inc |
| DBA Doing business as | Pvhc@ Laverne |
| Authorized official | Deanda, Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 8th, 2017 |
| Last updated | Jul 15th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033634373 | NPPES |
| California | MEDICAID | 1033634373 |
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