Provider Demographics
NPI:1811542194
Name:CALIFORNIA PROFESSIONAL CARE
Entity Type:Organization
Organization Name:CALIFORNIA PROFESSIONAL CARE
Other - Org Name:CALPRO CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-624-3339
Mailing Address - Street 1:4959 PALO VERDE ST STE 206C-1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2341
Mailing Address - Country:US
Mailing Address - Phone:626-863-5437
Mailing Address - Fax:
Practice Address - Street 1:4959 PALO VERDE ST STE 206C-1
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2341
Practice Address - Country:US
Practice Address - Phone:626-863-5437
Practice Address - Fax:909-385-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health