Healthcare Provider Details

I. General information

NPI: 1336060938
Provider Name (Legal Business Name): PARAMOUNT HEALTH RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 E DEERE AVE
SANTA ANA CA
92705-5719
US

IV. Provider business mailing address

1750 E DEERE AVE
SANTA ANA CA
92705-5719
US

V. Phone/Fax

Practice location:
  • Phone: 469-850-3114
  • Fax:
Mailing address:
  • Phone: 469-850-3114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER BROKISH
Title or Position: CMO
Credential: MD
Phone: 469-850-3114