Organization
CARINGRESIDENTIAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL BRIAN TAYLOR (CEO)
(310) 702-1154
Entity
Organization
Contact information
Practice address
4309 LEIMERT BLVD, LOS ANGELES, CA 90008-5201
(323) 293-6000
Mailing address
4309 LEIMERT BLVD, LOS ANGELES, CA 90008-5201
(323) 293-6000
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
190424AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7095
—
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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