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NPI Code Detail

MEDICARE: PRECIOUS KORTU

MEDICARE: PRECIOUS KORTU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1730024886
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRECIOUS KORTU
Provider Business Mailing Address
First Line : 5300 S PRIEST DR
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1568
Country : US
Telephone Number : 347-223-6176
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 760-299-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ PRECIOUS KORTU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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