| Remedia Care Medical Corporation | |
|
3617 Division Street Los Angeles CA 90065 | |
| (213) 400-1995 | |
| (213) 254-2055 |
| Full Name | Remedia Care Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3617 Division Street, Los Angeles, California |
| Authorized Official Name and Position | Andrew C De Niese (CEO) |
| Authorized Official Contact | 6462264523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remedia Care Medical Corporation 5482 Wilshire Blvd Ste 1559 Los Angeles CA 90036-4218 Ph: (213) 400-1995 | Remedia Care Medical Corporation 3617 Division Street Los Angeles CA 90065 Ph: (213) 400-1995 |
| NPI Number | 1982299830 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Medicare PECOS PAC ID | 6406262088 |
|---|---|
| Medicare Enrollment ID | O20210305000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982299830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Joseph John Cadden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881640399 PECOS PAC ID: 3870526395 Enrollment ID: I20050915000296 |
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