Organization
CALIFORNIA CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MING-TA SU M.D. (PHYSICIAN)
(818) 551-0026
Entity
Organization
Contact information
Practice address
610 N CENTRAL AVE, GLENDALE, CA 91203-1403
(818) 551-0026
(818) 551-0027
Mailing address
610 N CENTRAL AVE, GLENDALE, CA 91203-1403
(818) 551-0026
(818) 551-0027
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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