| Deva Health, Corp. | |
|
219 Marguerite Ave Corona Del Mar CA 92625-3043 | |
| (949) 209-1563 | |
| (949) 539-8822 |
| Full Name | Deva Health, Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 219 Marguerite Ave, Corona Del Mar, California |
| Authorized Official Name and Position | Meera Misra Shukla (CMO) |
| Authorized Official Contact | 9492091563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deva Health, Corp. 219 Marguerite Ave Corona Del Mar CA 92625-3043 Ph: (949) 209-1563 | Deva Health, Corp. 219 Marguerite Ave Corona Del Mar CA 92625-3043 Ph: (949) 209-1563 |
| NPI Number | 1760310940 |
|---|---|
| Provider Enumeration Date | 05/11/2026 |
| Last Update Date | 09/05/2026 |
| Certification Date | 09/05/2026 |
| Medicare PECOS PAC ID | 0143792382 |
|---|---|
| Medicare Enrollment ID | O20260618001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760310940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Meera M Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700124773 PECOS PAC ID: 1153561287 Enrollment ID: I20130712000221 |
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