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Contact Information

JSK PREMIER MSO INC
2720 N HARBOR BLVD STE 350
FULLERTON, CA92835-2602
 Phone: 714-529-8923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hospice and Palliative Medicine

2084H0002X 17 Physician/Hospice and Palliative Care
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JSK PREMIER MSO INC · (Female)

NPI # 1700713195
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2026
Last updated 05/07/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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