Provider Demographics
NPI:1780955310
Name:CAL MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:CAL MEDICAL SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-208-5655
Mailing Address - Street 1:160 W FOOTHILL PKWY
Mailing Address - Street 2:#105 PMB 198
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8545
Mailing Address - Country:US
Mailing Address - Phone:909-208-5655
Mailing Address - Fax:800-308-2710
Practice Address - Street 1:1485 SPRUCE ST
Practice Address - Street 2:SUITE Q
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2445
Practice Address - Country:US
Practice Address - Phone:951-279-8799
Practice Address - Fax:800-308-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72688207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0144793Medicare UPIN