Provider Demographics
NPI:1790366953
Name:CARE DIRECT MEDICAL GROUP INC
Entity Type:Organization
Organization Name:CARE DIRECT MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-353-5053
Mailing Address - Street 1:150 PAULARINO AVE STE D182
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3302
Mailing Address - Country:US
Mailing Address - Phone:949-556-3433
Mailing Address - Fax:
Practice Address - Street 1:150 PAULARINO AVE STE D182
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3302
Practice Address - Country:US
Practice Address - Phone:949-556-3433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty