# PUISSANCE INT'L CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST. CHRISTOPHER ADHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578611976
- **Authorized official:** EDNA MEDRANO (VP-CFO)
- **Authorized official phone:** (951) 549-6060

## Contact information

- **Practice address:** 4300 GREEN RIVER RD, SUITE 109A, CORONA, CA 92880-1506
- **Practice address phone:** (951) 549-6060
- **Practice address fax:** (951) 549-6064
- **Mailing address:** 4300 GREEN RIVER RD, SUITE 109A, CORONA, CA 92880-1506
- **Mailing address phone:** (951) 549-6060
- **Mailing address fax:** (951) 549-6064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020