Provident Hospitalist Associates, a Professional Medical Corporation
Provident Hospitalist Associates, a Professional Medical Corporation is an Internal Medicine Physician in Corona, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
800 S Main StCorona, CA 92882-3420
Phone: (951) 737-4343
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A63079 (CA) |
|---|
Record details
| NPI number | 1083998173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sunil Sujan — Ceo · (310) 351-4566 |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 10, 2011 |
| Mailing address | 1191 Magnolia Ave, Suite D #248, Corona, CA 92879-3215 |
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