CAREMORE HEALTH PLAN NPI 1275906711

NPI Information

NPI: 1275906711
Provider Name: CAREMORE HEALTH PLAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 05D2057808

Address:
1945 E. 17TH ST., SUITE 101
SANTA ANA, CA
ZIP 92705
Phone: (714) 888-8900
Get Directions

CAREMORE HEALTH PLAN is a family nurse practitioner in Santa Ana, CA. CAREMORE HEALTH PLAN NPI is 1275906711. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1945 E. 17TH ST., SUITE 101
SANTA ANA, CA
ZIP 92705
Phone: (714) 888-8900

The provider's authorized official is Tea J Park .
The authorized official title is Md and has the following contact phone number (714) 888-8900.

The CLIA number assigned to this NPI record is 05D2057808 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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	A90047	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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