Provider Demographics
NPI:1881844157
Name:CALMEDICS INC
Entity Type:Organization
Organization Name:CALMEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-291-3969
Mailing Address - Street 1:12814 VICTORY BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3013
Mailing Address - Country:US
Mailing Address - Phone:818-291-3969
Mailing Address - Fax:
Practice Address - Street 1:12814 VICTORY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3013
Practice Address - Country:US
Practice Address - Phone:818-291-3969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28070207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty