OrganizationPremier Care Of Northern CaliforniaContractorOther Service ProvidersPractice Address955 Overland Ct Fl 2, San Dimas, CA 91773-1718(909) 971-6741PECOS EnrollmentBased on the most recent information from CMS, provider Premier Care Of Northern California does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689798621Provider TypeOrganizationFull NamePremier Care Of Northern CaliforniaSubpartNoEnumeration Date3/16/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address955 Overland Ct Fl 2, San Dimas, CA 91773-1718Phone(909) 971-6741Fax(909) 971-6791Mailing LocationMailing Address955 Overland Ct Fl 2, San Dimas, CA 91773-1718Phone(909) 971-6741Fax(909) 971-6791Authorized OfficialNameCarrillo, Norma E (Network Associate)Phone(909) 971-6741Provider TaxonomiesCodeDescriptionLicenseCode171W00000XPrimaryDescriptionContractorOther Service ProvidersLicenseUnlisted Issuer