# CALIFORNIA CARE CORP

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

## Provider details

- **NPI number:** 1720314271
- **Authorized official:** DR. MICHAEL MING-TA SU M.D. (PHYSICIAN)
- **Authorized official phone:** (818) 551-0026

## Contact information

- **Practice address:** 610 N CENTRAL AVE, GLENDALE, CA 91203-1403
- **Practice address phone:** (818) 551-0026
- **Practice address fax:** (818) 551-0027
- **Mailing address:** 610 N CENTRAL AVE, GLENDALE, CA 91203-1403
- **Mailing address phone:** (818) 551-0026
- **Mailing address fax:** (818) 551-0027

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2009
- **Last updated:** 10/19/2009