Organization · Type 2 NPI
Premise Health of California Medical PC
Multi-Specialty Clinic/Center · El Segundo, CA
NPI number
1194695494
Active
Practice location
100 N Pacific Coast Hwy Rm 14W-N01
El Segundo, CA 90245-4359
Fax (310) 356-3136
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1194695494
Premise Health of California Medical PC's National Provider Identifier is 1194695494, issued on Nov 11, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in El Segundo, CA. The record was last updated on Sep 22, 2026.