Organization
CALIFORNIA CARE MEDICAL GROUP, INC.
Active
Other names
California Care Internal Medicine Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN HOVAN TO M.D. (PRESIDENT)
(951) 677-9898
Entity
Organization
Contact information
Practice address
24910 LAS BRISAS RD, SUITE 120, MURRIETA, CA 92562-4010
(951) 677-9898
Mailing address
24910 LAS BRISAS RD, SUITE 120, MURRIETA, CA 92562-4010
(951) 677-9898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ01356Z
GROUP MEDICARE ID NUMBER
CA
Enumeration date
09/28/2006
Last updated
09/30/2011
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