Provider Demographics
NPI:1316368954
Name:CALIFORNIA HEALTHCARE MANAGEMENT GROUP, INC
Entity Type:Organization
Organization Name:CALIFORNIA HEALTHCARE MANAGEMENT GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-783-4427
Mailing Address - Street 1:17337 VENTURA BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4923
Mailing Address - Country:US
Mailing Address - Phone:818-783-4427
Mailing Address - Fax:818-906-9101
Practice Address - Street 1:17337 VENTURA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4923
Practice Address - Country:US
Practice Address - Phone:818-783-4427
Practice Address - Fax:818-906-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-28
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health