| Prudent Healthcare Services Nursing | |
|
421 N Brookhurst St Ste 228c Anaheim CA 92801-5619 | |
| (562) 306-9739 | |
| Not Available |
| Full Name | Prudent Healthcare Services Nursing |
|---|---|
| Speciality | Internal Medicine |
| Location | 421 N Brookhurst St Ste 228c, Anaheim, California |
| Authorized Official Name and Position | Ava Salarda (OWNER) |
| Authorized Official Contact | 5623069739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudent Healthcare Services Nursing 421 N Brookhurst St Ste 228c Anaheim CA 92801-5619 Ph: () - | Prudent Healthcare Services Nursing 421 N Brookhurst St Ste 228c Anaheim CA 92801-5619 Ph: (562) 306-9739 |
| NPI Number | 1770326969 |
|---|---|
| Provider Enumeration Date | 06/15/2024 |
| Last Update Date | 06/15/2024 |
| Medicare PECOS PAC ID | 7113466533 |
|---|---|
| Medicare Enrollment ID | O20240829002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770326969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Ava Septe T Salarda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225307804 PECOS PAC ID: 0446569917 Enrollment ID: I20240904003076 |
| Provider Name | Jovelyn Urdaneta Galo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821830761 PECOS PAC ID: 9537694237 Enrollment ID: I20241118003297 |
| Provider Name | Elmer Fortin Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567898 PECOS PAC ID: 3476088147 Enrollment ID: I20241119002161 |
| Provider Name | Aprilyn Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528807385 PECOS PAC ID: 4880129188 Enrollment ID: I20241122003971 |
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