Healthcare Provider Details
I. General information
NPI: 1447178546
Provider Name (Legal Business Name): PURIFI HEALTH, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1007 IRIS ST
REDWOOD CITY CA
94061-1503
US
IV. Provider business mailing address
2066 N CAPITOL AVE UNIT 8109
SAN JOSE CA
95132-1015
US
V. Phone/Fax
- Phone: 561-312-1087
- Fax:
- Phone: 561-312-1087
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NEERU
KAUR
PURI
Title or Position: PRESIDENT
Credential: MD
Phone: 561-312-1087