ERNESTA PEARL; NPI #1588992820

Contact Information

ERNESTA PEARL

2836 S 94TH ST
MESA, AZ 85212-1412

Phone: 602-295-9214
Fax: 480-219-1607
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for ERNESTA PEARL

NPI Number 1588992820

LBN Legal business name ERNESTA PEARL

Authorized official ERNESTA PEARL - (OWNER/LICENSEE)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/25/2009

Last updated 11/25/2009 - About 17 years ago

Identifiers

License #

BH-3308

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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