Renita Pullens DO a Medical Corporation

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

RENITA PULLENS DO A MEDICAL CORPORATION

Practice address

16600 Sherman Way
Suite 266
Van Nuys, CA 91406-3875

Phone

(818) 779-0120

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Renita Pullens, DO

Title

President

Phone

(562) 299-5239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1427494079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY",
            "address_2": "SUITE 266",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY",
            "address_2": "SUITE 266",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063875",
            "telephone_number": "818-779-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENITA PULLENS DO A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "PULLENS",
        "authorized_official_first_name": "RENITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-5239",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.