Provider Demographics
NPI:1073323887
Name:MISSION PREMIER HEALTH
Entity type:Organization
Organization Name:MISSION PREMIER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADORADOR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-C
Authorized Official - Phone:909-754-6868
Mailing Address - Street 1:1201 BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4402
Mailing Address - Country:US
Mailing Address - Phone:909-754-6868
Mailing Address - Fax:
Practice Address - Street 1:1201 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4402
Practice Address - Country:US
Practice Address - Phone:909-754-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty