Provider Demographics
NPI:1689298317
Name:CAREPLUS MEDICAL CLINIC A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CAREPLUS MEDICAL CLINIC A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, FAMILY NP
Authorized Official - Prefix:
Authorized Official - First Name:FIROUZEH
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:SABERI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-777-1285
Mailing Address - Street 1:5783 E LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5783 E LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2229
Practice Address - Country:US
Practice Address - Phone:714-777-1285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty