| Divine Health Inc | |
|
348 Rheem Blvd Moraga CA 94556-1516 | |
| (925) 376-5995 | |
| Not Available |
| Full Name | Divine Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 348 Rheem Blvd, Moraga, California |
| Authorized Official Name and Position | Sonia Jhurani (PRESIDENT) |
| Authorized Official Contact | 6507039362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Health Inc 1098 Pensacola St Foster City CA 94404-3531 Ph: (650) 703-9362 | Divine Health Inc 348 Rheem Blvd Moraga CA 94556-1516 Ph: (925) 376-5995 |
| NPI Number | 1649889916 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 6305261207 |
|---|---|
| Medicare Enrollment ID | O20200810002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649889916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sonia Jhurani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279526 PECOS PAC ID: 2365739851 Enrollment ID: I20160927002519 |
J&a Health Innovations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Vista Encinos, Moraga, CA 94556 Phone: 415-966-7659 |