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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

NPI # 1700713195
LBN Legal business name JSK PREMIER MSO INC
Authorized official ASHISH BHAVSAR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2026
Last updated 05/07/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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