MEDICARE: PREMIER SENIOR HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1003752429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER SENIOR HEALTH INC

Provider Business Mailing Address
First Line	:	4152 KATELLA AVE STE 201
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-6608
Country	:	US
Telephone Number	:	562-650-5893
Fax Number	:

Provider Business Practice Location Address
First Line	:	4152 KATELLA AVE STE 201
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-6608
Country	:	US
Telephone Number	:	562-650-5893
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	SHALANI ALBAYDE
Credential	:
Telephone Number	:	562-650-5893

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/28/2026

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