Healthcare Provider Details

I. General information

NPI: 1811042906
Provider Name (Legal Business Name): PREMIERE PULMONARY CONSULTANTS A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 EUCLID AVE SUITE 304
NATIONAL CITY CA
91950-2931
US

IV. Provider business mailing address

502 EUCLID AVE SUITE 304
NATIONAL CITY CA
91950-2931
US

V. Phone/Fax

Practice location:
  • Phone: 619-470-6195
  • Fax: 619-470-6199
Mailing address:
  • Phone: 619-470-6195
  • Fax: 619-470-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA48932
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA48932
License Number StateCA

VIII. Authorized Official

Name: DR. DOTTIE ANN SAZON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 619-470-6195