Provider Demographics
NPI:1013286707
Name:CARING HEARTS MEDICAL FOUNDATION AND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CARING HEARTS MEDICAL FOUNDATION AND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IYABO
Authorized Official - Middle Name:
Authorized Official - Last Name:DARAMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-479-6767
Mailing Address - Street 1:2401 REO DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-3025
Mailing Address - Country:US
Mailing Address - Phone:619-479-6767
Mailing Address - Fax:
Practice Address - Street 1:2401 REO DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92139-3025
Practice Address - Country:US
Practice Address - Phone:619-479-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-24
Last Update Date:2011-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63633261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service