Provider Demographics
NPI: | 1770656829 |
---|---|
Name: | CAREMORE MEDICAL GROUP |
Entity Type: | Organization |
Organization Name: | CAREMORE MEDICAL GROUP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHAIRMAN |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SHELDON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ZINBERG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 562-741-4461 |
Mailing Address - Street 1: | PO BOX 51238 |
Mailing Address - Street 2: | ATTENTION MAGGIE NOLES |
Mailing Address - City: | LOS ANGELES |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90051-5538 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 562-741-4461 |
Mailing Address - Fax: | 562-741-4401 |
Practice Address - Street 1: | 12900 PARK PLAZA DR |
Practice Address - Street 2: | # 150 ATTN MAGGIE NOLES |
Practice Address - City: | CERRITOS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90703-8564 |
Practice Address - Country: | US |
Practice Address - Phone: | 562-741-4461 |
Practice Address - Fax: | 562-741-4401 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-16 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Not Answered | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
Not Answered | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
Not Answered | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
Not Answered | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | Group - Multi-Specialty |
Not Answered | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
Not Answered | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |
Not Answered | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | Group - Multi-Specialty |
Not Answered | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
Not Answered | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
Not Answered | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
Not Answered | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
Not Answered | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | W12023FF | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023Q | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023S | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023Y | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023BB | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023DD | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023EE | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023F | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023B | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023N | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023X | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023T | Medicare UPIN | |
CA | W12023Z | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023E | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023H | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023P | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023C | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023A | Medicare ID - Type Unspecified | M-CARE # |
CA | W12023AA | Medicare ID - Type Unspecified | M-CARE # |