MEDICARE: ALLCARE MEDICAL CONSULTING 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	253Z00000X	In Home Supportive Care Agency		CA

General Provider Information

NPI Number	:	1700138823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLCARE MEDICAL CONSULTING INC.

Provider Business Mailing Address
First Line	:	530 S LAKE AVE # 142
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-3515
Country	:	US
Telephone Number	:	323-443-7823
Fax Number	:	888-673-0237

Provider Business Practice Location Address
First Line	:	530 S LAKE AVE # 142
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-3515
Country	:	US
Telephone Number	:	323-443-7823
Fax Number	:	888-673-0237

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CECELIA WALKER
Credential	:
Telephone Number	:	323-316-7849

Provider Enumeration Date	:	10/12/2012
Last Update Date	:	07/21/2022

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