Provider Demographics
NPI:1073562120
Name:CAREACTION INC
Entity Type:Organization
Organization Name:CAREACTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOROZOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-874-0530
Mailing Address - Street 1:7771 SUNSET BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-3911
Mailing Address - Country:US
Mailing Address - Phone:323-874-0530
Mailing Address - Fax:
Practice Address - Street 1:7771 SUNSET BOULEVARD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-3911
Practice Address - Country:US
Practice Address - Phone:323-874-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADME02278G332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02278GMedicaid
CA1157700001Medicare ID - Type UnspecifiedPROVIDER NUMBER