Organization
CAREATHOME MEDICAL PRACTICE CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JASSER MD (CHIEF MEDICAL OFFICER)
(602) 663-8228
Entity
Organization
Contact information
Practice address
4695 MACARTHUR CT FL 11, NEWPORT BEACH, CA 92660-1882
(888) 553-2823
Mailing address
169 MADISON AVE STE 2817, NEW YORK, NY 10016-5101
(888) 553-2823
(888) 553-2823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/14/2021
Last updated
10/03/2024
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