Organization
CAREMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD CASILANG (CLINICAL MANAGER)
(714) 399-9222
Entity
Organization
Contact information
Practice address
1182 N. EUCLID ST., ANAHEIM, CA 92801
(714) 399-9222
Mailing address
12900 PARK PLAZA DRIVE, SUITE 150, CERRITOS, CA 90703
(562) 741-4470
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
20658
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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