PROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION

CORONA, CA
NPI1083998173
Entity TypeOrganization
Authorized ContactSUNIL SUJAN
CEO
310-351-4566
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A63079)
Enumeration Date2011-10-06
Last Update Date2011-10-10
Business Address
PROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION
800 S MAIN ST
CORONA, CA 92882-3420
Phone number: 951-737-4343
Mailing Address
PROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION
1191 MAGNOLIA AVE SUITE D #248
CORONA, CA 92879-3215
Phone number: 951-736-6325
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CORONA HEALTH SPECIALTY ASSOCIATES, LLC