Caremore Health Plan
Nurse Practitioner, Family in Pico Rivera, CA. Organization (NPI-2).
NPI number1255705232
StatusActive
Last updated in NPPESNov 13, 2015
Details
- NPI
- 1255705232
- Entity type
- Organization (NPI-2)
- Legal business name
- Caremore Health Plan
- Organization subpart
- No
- Enumeration date
- Nov 13, 2015
- Last updated
- Nov 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A75520 | CA | Yes |
Practice location
9330 Washington BlvdPico Rivera, CA 90660-3838
Phone 562-205-4200
Mailing address
9330 Washington BlvdPico Rivera, CA 90660-3838
Authorized official
Jae Kim
MD
5622054200
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