MEDICARE: HEALTHCARE ASSOCIATES OF CALIFORNIA 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	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1740978113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE ASSOCIATES OF CALIFORNIA INC

Provider Business Mailing Address
First Line	:	1020 S GARFIELD AVE
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-4709
Country	:	US
Telephone Number	:	626-943-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 N ALLEN AVE FL 2
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-3203
Country	:	US
Telephone Number	:	626-791-9004
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MAXWELL A DARTEY
Credential	:	MD
Telephone Number	:	310-984-4809

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	05/05/2026

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