Organization
CARE LEAGUE MEDICAL GROUP, INC
Active
Other names
The Care League
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK JACKSON (CEO)
(213) 341-2681
Entity
Organization
Contact information
Practice address
18653 VENTURA BLVD # 125, TARZANA, CA 91356-4103
(213) 341-2681
Mailing address
18653 VENTURA BLVD # 125, TARZANA, CA 91356-4103
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/23/2024
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