Healthcare Provider Details

I. General information

NPI: 1750425278
Provider Name (Legal Business Name): DAVID PLURAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2007
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4234 RIVERWALK PKWY STE 120
RIVERSIDE CA
92505-3304
US

IV. Provider business mailing address

520 W LAUREL AVE
SIERRA MADRE CA
91024-1614
US

V. Phone/Fax

Practice location:
  • Phone: 951-781-3672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG87433
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberG87433
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberG87433
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: