Organization
IMMACULATE CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORYCE M. AGUIRRE RASI (SUPERVISOR)
(951) 243-0303
Entity
Organization
Contact information
Practice address
24384 SUNNYMEAD BLVD STE.240, MORENO VALLEY, CA 92553
(951) 243-0303
(951) 243-3006
Mailing address
24384 SUNNYMEAD BLVD STE 240, MORENO VALLEY, CA 92553-7765
(951) 243-0303
(951) 243-3006
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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