MEDICARE: CALIFORNIA CITY HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1205718111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA CITY HEALTHCARE INC

Provider Business Mailing Address
First Line	:	9160 CALIFORNIA CITY BLVD
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-2820
Country	:	US
Telephone Number	:	916-862-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	9160 CALIFORNIA CITY BLVD
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-2820
Country	:	US
Telephone Number	:	916-862-8105
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY/OWNER
Name	:	MICHAEL NABIL NAZMY RADY
Credential	:
Telephone Number	:	916-862-8105

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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Directions to “CALIFORNIA CITY HEALTHCARE INC ” Practice Location

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