Organization
CA RELIABLE MEDICAL SYST INC
Active
Other names
Elm ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BRAVERMAN (PRESIDENT)
(323) 333-5383
Entity
Organization
Contact information
Practice address
1220 ELM AVE, IMPERIAL BEACH, CA 91932-2311
(619) 271-1278
Mailing address
11110 RED CEDAR DR, SAN DIEGO, CA 92131-1310
(858) 776-1468
(760) 653-0015
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70319F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
08/27/2007
Last updated
07/14/2008
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