Healthcare Provider Details

I. General information

NPI: 1366001653
Provider Name (Legal Business Name): PRECISE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 FOOTHILL BLVD STE A-7A
FONTANA CA
92335-3736
US

IV. Provider business mailing address

1113 ALTA AVE STE 100
UPLAND CA
91786-2804
US

V. Phone/Fax

Practice location:
  • Phone: 714-270-7432
  • Fax: 909-360-8372
Mailing address:
  • Phone: 714-270-7432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JINESH PATEL
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 714-270-7432