Provider Demographics
NPI:1790102705
Name:UNIVERSAL CARE DBA BRAND NEW DAY HEALTH MAINTENANCE ORGANIZATION
Entity Type:Organization
Organization Name:UNIVERSAL CARE DBA BRAND NEW DAY HEALTH MAINTENANCE ORGANIZATION
Other - Org Name:BRAND NEW DAY HEALTH MAINTENANCE ORGANIZATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-255-4795
Mailing Address - Street 1:5455 GARDEN GROVE BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-1891
Mailing Address - Country:US
Mailing Address - Phone:866-255-4795
Mailing Address - Fax:
Practice Address - Street 1:5455 GARDEN GROVE BLVD FL 5
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-1891
Practice Address - Country:US
Practice Address - Phone:866-255-4795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA065312302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization