Israa Qasim Poullath
Emergency Medical Technician, Basic in Temecula, CA. Individual provider (NPI-1).
NPI number1205246782
StatusActive
Last updated in NPPESMay 5, 2014
Details
- NPI
- 1205246782
- Entity type
- Individual (NPI-1)
- Name
- Israa Qasim Poullath
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2014
- Last updated
- May 5, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 97436254F84077 | CA | Yes |
Practice location
42001 Margarita RdApt#220
Temecula, CA 92591-5772
Phone 254-421-6533
Mailing address
42001 Margarita RdApt#220
Temecula, CA 92591-5772
Phone 254-421-6533
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