Provider Demographics
NPI:1083372957
Name:PREMIERE HEALTH CARE
Entity Type:Organization
Organization Name:PREMIERE HEALTH CARE
Other - Org Name:PREMIER HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ROSANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-789-8661
Mailing Address - Street 1:PO BOX 9309
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90608-9309
Mailing Address - Country:US
Mailing Address - Phone:562-789-8661
Mailing Address - Fax:
Practice Address - Street 1:7624 PAINTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2328
Practice Address - Country:US
Practice Address - Phone:562-789-8661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JASON R ROSANO D C INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-07
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty