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ICARE-USA LLC NPI 1477002079


NPI Information

NPI: 1477002079
Provider Name: ICARE-USA LLC

Former Legal Business Name: ICARE-USA LLC

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
11036 CAMINITO ALVAREZ
SAN DIEGO, CA
ZIP 92126
Phone: (619) 547-9394
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ICARE-USA LLC is a point of service in San Diego, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ICARE-USA LLC NPI is 1477002079. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Icare-usa Llc.

The provider's business location address is:

11036 CAMINITO ALVAREZ
SAN DIEGO, CA
ZIP 92126-701
Phone: (619) 547-9394

The provider's authorized official is Aneceto Alcantara Mendoza .
The authorized official title is President/ceo and has the following contact phone number (619) 547-9394.

The enumeration date for this NPI number is 9/25/2016 and was last updated on 9/25/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service201618710208CALIFORNIAYes

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: 4/28/2024

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