| NPI | 1518686377 |
|---|---|
| Doing Business As | PURA VIDA COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | AREV ADANALYAN Secretary 818-383-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-04-28 |