Organization
PROFESSIONAL HEALTHCARE ASSOCIATES, INC.
Active
Organization
PROFESSIONAL HEALTHCARE ASSOCIATES, INC.
Active
Other names
Cavalry Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RUIZ (VICE PRESIDENT)
(951) 278-3700
Entity
Organization
Contact information
Practice address
423 JENKS CIR, CORONA, CA 92878-5039
(951) 278-3700
(951) 736-1933
Mailing address
423 JENKS CIR, CORONA, CA 92878-5039
(951) 278-3700
(951) 736-1933
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13518Z
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
01/29/2007
Last updated
10/18/2024
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