MARK R. PULERA, MD, A PROFESSIONAL CORPORATION (NPI# 1811034135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811034135 |
| Entity Type | Organization |
| Organization Name | MARK R. PULERA, MD, A PROFESSIONAL CORPORATION |
| Practice Address |
4644 Lincoln Blvd Suite 404 Marina Del Rey CA 90292-6313 |
| Practice Telephone | 3108237800 |
| Mailing Telephone | 3108237800 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | MARK RONALD PULERA (PRESIDENT) |
| Authorized Official Telephone | 3108237800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G081695 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4644 LINCOLN BLVD SUITE 404 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503431 | Anthony Joseph Zoppi | Orthopaedic Surgery | 4644 Lincoln Blvd, Ste #101, Marina Del Rey, CA 90292-6621 | 2005-07-27 |
| 1104295278 | Matthew James Cunningham | Physician Assistant | 4644 Lincoln Blvd, Marina Del Rey, CA 90292-6313 | 2015-09-18 |
| 1356778476 | Marina Dermatology Associates | Dermatology | 4644 Lincoln Blvd, Suite 552, Marina Del Rey, CA 90292-6313 | 2013-10-03 |
| 1639444714 | Grant Stevens, M.d., Inc | Plastic Surgery | 4644 Lincoln Blvd, Suite 552, Marina Del Rey, CA 90292-6391 | 2012-03-21 |
| 1033483193 | Jonathan D. Rand, M.d. Inc | Internal Medicine | 4644 Lincoln Blvd, 113, Marina Del Rey, CA 90292-6313 | 2012-03-06 |
| 1154692507 | Eleby R. Washington IIi Md PC | Orthopaedic Surgery | 4644 Lincoln Blvd, Suite 101, Marina Del Rey, CA 90292-6313 | 2012-01-17 |
| 1255609004 | Jeremy E. Korman Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 4644 Lincoln Blvd, Suite 450, Marina Del Rey, CA 90292-6313 | 2011-12-08 |
| 1750683090 | Robert P. Waldman, M.d. A Professional Corporation | Internal Medicine | 4644 Lincoln Blvd, Ste 540, Marina Del Rey, CA 90292-6313 | 2010-11-18 |
| 1679886535 | Heleen Robins Md Inc | Family Medicine | 4644 Lincoln Blvd, Suite 408, Marina Del Rey, CA 90292-6313 | 2010-07-21 |
| 1295050714 | Akash Bajaj Md Inc A California Professional Medical Corporation | Pain Medicine | 4644 Lincoln Blvd, Suite 424, Marina Del Rey, CA 90292-6313 | 2010-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891180071 | Ilana Lasner | Psychiatry & Neurology | 4676 Admiralty Way # 301, Marina Del Rey, CA 90292-6601 | 2015-04-03 |
| 1972869253 | Ravi Vakani | Psychiatry & Neurology | 4640 Admiralty Way Ste 1020, Marina Del Rey, CA 90292-6641 | 2012-04-11 |
| 1659445211 | Robert Joseph Giombetti | Psychiatry & Neurology | 4560 Admiralty Way, Suite 352, Marina Del Rey, CA 90292-5423 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on MARK R. PULERA, MD, A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.