05D1039604 CLIA NUMBER - CALIFORNIA CARE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D1039604

Facility Name: CALIFORNIA CARE MEDICAL GROUP INC

Facility Address:
24910 LAS BRISAS ROAD, SUITE 120
MURRIETA, CA
ZIP 92562
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Facility Phone Number: 951 677-9898

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083706063

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D1039604
LAB Type	Physician Office
Facility Name	CALIFORNIA CARE MEDICAL GROUP INC
Street	24910 LAS BRISAS ROAD, SUITE 120
City	MURRIETA
State	CA
ZIP	92562
Phone	951 677-9898
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024