Basic Information
| Provider Information | |||||||||
| NPI: | 1811356470 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PLATINUM MEDICAL CARE A MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11100 WARNER AVE | ||||||||
| Address2: | SUITE 218 | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927087506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146419696 | ||||||||
| FaxNumber: | 7146411211 | ||||||||
| Practice Location | |||||||||
| Address1: | 11100 WARNER AVE | ||||||||
| Address2: | SUITE 218 | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927087506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146419696 | ||||||||
| FaxNumber: | 7146411211 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2016 | ||||||||
| LastUpdateDate: | 02/11/2016 | ||||||||
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| AuthorizedOfficialLastName: | SAWHNEY | ||||||||
| AuthorizedOfficialFirstName: | SAJEET | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7146419696 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336C0002X | Y | Suppliers | Pharmacy | Clinic Pharmacy |
No ID Information.