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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