| Healtheroad A Professional Nursing Corporation | |
|
25186 Hancock Ave Ste 210 Murrieta CA 92562-5998 | |
| (951) 215-6747 | |
| (619) 268-5255 |
| Full Name | Healtheroad A Professional Nursing Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25186 Hancock Ave Ste 210, Murrieta, California |
| Authorized Official Name and Position | Liza P Alvarado (CEO) |
| Authorized Official Contact | 6192283492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healtheroad A Professional Nursing Corporation 25186 Hancock Ave Ste 210 Murrieta CA 92562-5998 Ph: (951) 215-6747 | Healtheroad A Professional Nursing Corporation 25186 Hancock Ave Ste 210 Murrieta CA 92562-5998 Ph: (951) 215-6747 |
| NPI Number | 1205525243 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 0749646263 |
|---|---|
| Medicare Enrollment ID | O20230525000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205525243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Liza Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403993 PECOS PAC ID: 6305124504 Enrollment ID: I20161021002005 |
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