Organization
ICARE-USA LLC
Active
Other names
ICARE-USA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANECETO ALCANTARA MENDOZA (PRESIDENT/CEO)
(619) 547-9394
Entity
Organization
Contact information
Practice address
11036 CAMINITO ALVAREZ, SAN DIEGO, CA 92126-5701
(619) 547-9394
Mailing address
11036 CAMINITO ALVAREZ, SAN DIEGO, CA 92126-5701
(619) 547-9394
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
201618710208
CA
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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