| California Care Internal Medicine Group, Inc. | |
|
24910 Las Brisas Rd Suite 120 Murrieta CA 92562-4010 | |
| (951) 677-9898 | |
| Not Available |
| Full Name | California Care Internal Medicine Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 24910 Las Brisas Rd, Murrieta, California |
| Authorized Official Name and Position | Bryan Hovan To (PRESIDENT) |
| Authorized Official Contact | 9516779898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Care Internal Medicine Group, Inc. 24910 Las Brisas Rd Suite 120 Murrieta CA 92562-4010 Ph: (951) 677-9898 | California Care Internal Medicine Group, Inc. 24910 Las Brisas Rd Suite 120 Murrieta CA 92562-4010 Ph: (951) 677-9898 |
| NPI Number | 1083706063 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 7315992690 |
|---|---|
| Medicare Enrollment ID | O20050318000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083706063 | NPI | - | NPPES |
| ZZZ01356Z | Other | CA | GROUP MEDICARE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A84344 (California) | Primary |
| Provider Name | Bryan H To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407948474 PECOS PAC ID: 0042265324 Enrollment ID: I20050331000159 |
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