MARK R. PULERA, MD, A PROFESSIONAL CORPORATION
Neurology at Lincoln Blvd, Venice, CA

License number
California G081695
Category
Neurology
Type
Neurology
Owner
Name: MARK RONALD PULERA MD
Title: PRESIDENT
Phone: (310) 823-7800
Address
Address
4644 Lincoln Blvd SUITE 404, Venice, CA 90292
National Provider ID: 1811034135
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK R. PULERA, M.D., A PROFESSIONAL CORPORATION

4644 Lincoln Blvd SUITE 404, Marina del Rey, CA 90292

Status:
Inactive
Registration:
Mar 13, 2007
State ID:
C2974141
Agent:
Stewart Hsieh,Los Angeles, CA 90017 (Physical)

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