Organization
CALICARE PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRANUSH RAZMIKI GAMAZYAN (CEO)
(626) 884-1010
Entity
Organization
Contact information
Practice address
7940 GARVEY AVE UNIT 105B, ROSEMEAD, CA 91770-2454
(626) 884-1010
Mailing address
7940 GARVEY AVE UNIT 105B, ROSEMEAD, CA 91770-2454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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