Provider Demographics
NPI:1265835912
Name:CALI IHS MANAGEMENT PC
Entity Type:Organization
Organization Name:CALI IHS MANAGEMENT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-619-2301
Mailing Address - Street 1:6351 PRESTON RD
Mailing Address - Street 2:SUITE 295
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6320
Mailing Address - Country:US
Mailing Address - Phone:214-872-3381
Mailing Address - Fax:214-872-3387
Practice Address - Street 1:227 29TH ST
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2362
Practice Address - Country:US
Practice Address - Phone:214-872-3381
Practice Address - Fax:214-872-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty