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Organization
PURO HEALTH INC
Active
Organization
PURO HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL CHARLES WADE MD (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 407-2080
(562) 407-2082
Mailing address
14120 ALONDRA BLVD, SUITE C, SANTA FE SPRINGS, CA 90670-5820
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A125312
CA
208VP0014X
Interventional Pain Medicine Physician
A125312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A125312
A125312
CA
Enumeration date
10/30/2014
Last updated
10/30/2014
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