NPI 1093473837
Prembo LLC
Practice location
- Address
- 23711 Via Navarra, Mission Viejo, CA 92691-3637
- Phone
- (760) 409-7544
- Mailing address
- 92 Corporate Park STE C-200, Irvine, CA 92606-5146
Authorised official
- Name
- Preston Jack Durnford
- Title
- Ceo/Owner
- Phone
- (760) 409-7544
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1093473837
- Entity type
- Organization
- NPI issued
- 29 Nov 2021
- Record last updated
- 31 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.