Provider Demographics
NPI:1710250378
Name:CARE MEDICAL, A CALIFORNIA CORPORATION
Entity Type:Organization
Organization Name:CARE MEDICAL, A CALIFORNIA CORPORATION
Other - Org Name:VALLEY CARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNEELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-741-9005
Mailing Address - Street 1:1840 S CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4418
Mailing Address - Country:US
Mailing Address - Phone:559-741-9005
Mailing Address - Fax:559-741-9006
Practice Address - Street 1:1005 E OCEAN AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-7020
Practice Address - Country:US
Practice Address - Phone:805-735-7766
Practice Address - Fax:805-735-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies