Provider Demographics
NPI:1467609917
Name:CALIFORNIA CARE CORPORATION
Entity Type:Organization
Organization Name:CALIFORNIA CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYRIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-551-0026
Mailing Address - Street 1:344 E SANTA ANITA AVE
Mailing Address - Street 2:G
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1467
Mailing Address - Country:US
Mailing Address - Phone:818-563-6730
Mailing Address - Fax:
Practice Address - Street 1:610 N CENTRAL AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1403
Practice Address - Country:US
Practice Address - Phone:818-551-0026
Practice Address - Fax:818-551-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No302F00000XManaged Care OrganizationsExclusive Provider Organization