Provider Demographics
NPI:1811356470
Name:PLATINUM MEDICAL CARE A MEDICAL CORPORATION
Entity type:Organization
Organization Name:PLATINUM MEDICAL CARE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-641-9696
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7506
Mailing Address - Country:US
Mailing Address - Phone:714-641-9696
Mailing Address - Fax:714-641-1211
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-641-9696
Practice Address - Fax:714-641-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy