Puro Health Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A125312 Issued in CA

Legal business name

PURO HEALTH INC

Practice address

2776 Pacific Ave
Long Beach, CA 90806-2613

Phone

(562) 407-2080

Fax

(562) 407-2082

NPI assigned

Oct 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gabriel Charles Wade, MD

Title

President

Phone

(562) 407-2080

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1104221332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD",
            "address_2": "SUITE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705820",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURO HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A125312",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A125312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A125312",
            "identifier": "A125312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Punzalan, COTA
• Tania Punzalan, FNP
• Denise Rita Purdie, M.D.
• Pure Expression Speech Thearpy
• Phillip Purifoy
• Kimberli Pursell
• Rosalie Clare Pusey-Wolfrum, LCSW
• Sereyroth Puth, ACSW
• Cassandra Putt, LSW
• Elana Putterman, MD

• Anesthesiology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.