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Organization
CALIFORNIA CARE CORP
Active
Organization
CALIFORNIA CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MING TA SU M.D. (PROVIDER)
(818) 551-0026
Entity
Organization
Contact information
Practice address
610 N CENTRAL AVE STE 106, GLENDALE, CA 91203-1418
(818) 551-0026
(818) 551-0027
Mailing address
610 N CENTRAL AVE STE 106, GLENDALE, CA 91203-1418
(818) 551-0026
(818) 551-0027
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
197331
CA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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