CAREMORE HEALTH PLAN NPI 1104290824

NPI Information

NPI: 1104290824
Provider Name: CAREMORE HEALTH PLAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 05D1088379

Address:
406 E. COLORADO STREET
GLENDALE, CA
ZIP 91205
Phone: (818) 844-2778
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CAREMORE HEALTH PLAN is a family nurse practitioner in Glendale, CA. CAREMORE HEALTH PLAN NPI is 1104290824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

406 E. COLORADO STREET
GLENDALE, CA
ZIP 91205
Phone: (818) 844-2778

The provider's authorized official is Robin A Hatam .
The authorized official title is Md and has the following contact phone number (818) 844-2778.

The CLIA number assigned to this NPI record is 05D1088379 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	20A11018	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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