Petra Paule
Medical Specialty
Professional ID
- NPI: 1922158468
- PECOS ID: 5799720991
- Enrollment ID: I20130304000453
- Credential(MD, DO, DPM):
- Medical School: University Of California California College Of Medicine
- Medical School Graduation Year: 1995
Medical Practices
- Organization Name: Portola Medical Services Pc
- Group Practice ID assigned by PECOS: 4789970773
- Number of Group Practice member: 7
Location
- Address1: 29100 Portola Pkwy
- Address2: Suite B
- City: Lake Forest
- State: California
- Zip Code: 92630
- Phone Number: (844)254-6382
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):