Provider Demographics
NPI:1033470224
Name:DR TONY A CAREY D.O. INC
Entity Type:Organization
Organization Name:DR TONY A CAREY D.O. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:661-765-1122
Mailing Address - Street 1:422 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:TAFT
Mailing Address - State:CA
Mailing Address - Zip Code:93268-3511
Mailing Address - Country:US
Mailing Address - Phone:661-765-1122
Mailing Address - Fax:661-765-1123
Practice Address - Street 1:422 CENTER ST
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:CA
Practice Address - Zip Code:93268-3511
Practice Address - Country:US
Practice Address - Phone:661-765-1122
Practice Address - Fax:661-765-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6032261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF98168OtherUPIN