# NORTHERN CAL ADVANTAGE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376858902
- **Authorized official:** MS. CAROL D. HOUCHINS (ADMINISTRATOR)
- **Authorized official phone:** (714) 947-8600

## Contact information

- **Practice address:** 10855 BUSINESS CENTER DR, SUITE C, CYPRESS, CA 90630-5252
- **Practice address phone:** (714) 947-8600
- **Practice address fax:** (714) 947-8799
- **Mailing address:** 10855 BUSINESS CENTER DR, SUITE C, CYPRESS, CA 90630-5252
- **Mailing address phone:** (714) 947-8600
- **Mailing address fax:** (714) 947-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2010
- **Last updated:** 09/12/2013