| California Nursing Consultants | |
|
812 Poppyseed Ln Corona CA 92881-3527 | |
| (562) 290-3190 | |
| (951) 602-7812 |
| Full Name | California Nursing Consultants |
|---|---|
| Speciality | Family Medicine |
| Location | 812 Poppyseed Ln, Corona, California |
| Authorized Official Name and Position | Holy Dove Quiboloy Paule (PRESIDENT/CEO) |
| Authorized Official Contact | 5622903190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Nursing Consultants 812 Poppyseed Ln Corona CA 92881-3527 Ph: (562) 290-3190 | California Nursing Consultants 812 Poppyseed Ln Corona CA 92881-3527 Ph: (562) 290-3190 |
| NPI Number | 1891388286 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 3577971449 |
|---|---|
| Medicare Enrollment ID | O20210413002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891388286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eduardo Lares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528264371 PECOS PAC ID: 3173655370 Enrollment ID: I20100723000764 |
| Provider Name | Holy Dove Q Paule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891327565 PECOS PAC ID: 9335557016 Enrollment ID: I20210419000501 |
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