Provider Demographics
NPI:1326662305
Name:CALIBER HEALTHCARE
Entity Type:Organization
Organization Name:CALIBER HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANEZA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-569-1540
Mailing Address - Street 1:328 E 92ND ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-3823
Mailing Address - Country:US
Mailing Address - Phone:657-221-2753
Mailing Address - Fax:657-221-2758
Practice Address - Street 1:206 W 4TH ST STE 416
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4677
Practice Address - Country:US
Practice Address - Phone:714-244-2257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based