# CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1659357341
- **Authorized official:** DR. RAOUF KHALIL MD (CEO)
- **Authorized official phone:** (818) 591-3435

## Contact information

- **Practice address:** 5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6579
- **Practice address phone:** (800) 377-3606
- **Practice address fax:** (818) 595-8206
- **Mailing address:** 5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6579
- **Mailing address phone:** (800) 377-3606
- **Mailing address fax:** (818) 595-8206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 33579 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 08/13/2007