Provider Demographics
NPI:1851011985
Name:CALIFORNIA SENIOR CARE INC
Entity Type:Organization
Organization Name:CALIFORNIA SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:760-625-0545
Mailing Address - Street 1:81709 DR CARREON BLVD STE D2
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5578
Mailing Address - Country:US
Mailing Address - Phone:760-625-0545
Mailing Address - Fax:760-625-0546
Practice Address - Street 1:81709 DR CARREON BLVD STE D2
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5578
Practice Address - Country:US
Practice Address - Phone:760-625-0545
Practice Address - Fax:760-625-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty