# CARE CONNECTORS HUM, LLC

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

## Provider details

- **NPI number:** 1427987460
- **Authorized official:** TIMOTHY PETRIKIN (AUTHORIZED PERSON)
- **Authorized official phone:** (615) 414-4115

## Contact information

- **Practice address:** 4695 MACARTHUR CT \# 1112A, NEWPORT BEACH, CA 92660-1882
- **Practice address phone:** (615) 414-4115
- **Mailing address:** 4695 MACARTHUR CT \# 1112A, NEWPORT BEACH, CA 92660-1882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2026
- **Last updated:** 05/15/2026
