Organization
MARK R. PULERA, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RONALD PULERA MD (PRESIDENT)
(310) 823-7800
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, SUITE 404, MARINA DEL REY, CA 90292-6313
(310) 823-7800
Mailing address
4644 LINCOLN BLVD, SUITE 404, MARINA DEL REY, CA 90292-6313
(310) 823-7800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G081695
CA
Other
Enumeration date
01/30/2007
Last updated
10/10/2008
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