| Mark R. Pulera, Md, A Professional Corporation | |
|
4644 Lincoln Blvd Suite 404 Marina Del Rey CA 90292-6313 | |
| (310) 823-7800 | |
| Not Available |
| Full Name | Mark R. Pulera, Md, A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4644 Lincoln Blvd, Marina Del Rey, California |
| Authorized Official Name and Position | Mark Ronald Pulera (PRESIDENT) |
| Authorized Official Contact | 3108237800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R. Pulera, Md, A Professional Corporation 4644 Lincoln Blvd Suite 404 Marina Del Rey CA 90292-6313 Ph: (310) 823-7800 | Mark R. Pulera, Md, A Professional Corporation 4644 Lincoln Blvd Suite 404 Marina Del Rey CA 90292-6313 Ph: (310) 823-7800 |
| NPI Number | 1811034135 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 10/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811034135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G081695 (California) | Primary |
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