| Pure Pulse Health Physician Assistant, Inc | |
|
802 Magnolia Ave Ste 102 Corona CA 92879-3124 | |
| (714) 455-9831 | |
| Not Available |
| Full Name | Pure Pulse Health Physician Assistant, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 802 Magnolia Ave Ste 102, Corona, California |
| Authorized Official Name and Position | Dipali P Radia (CEO) |
| Authorized Official Contact | 7145535100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Pulse Health Physician Assistant, Inc 802 Magnolia Ave Ste 102 Corona CA 92879-3124 Ph: (714) 455-9831 | Pure Pulse Health Physician Assistant, Inc 802 Magnolia Ave Ste 102 Corona CA 92879-3124 Ph: (714) 455-9831 |
| NPI Number | 1154184018 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154184018 | NPI | - | NPPES |
| 1437812260 | Medicaid | CA |
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