MEDICARE: CAL-CARE MEDICAL GROUP, 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	261QA0005X	Ambulatory Family Planning Facility	A35232	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770592024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAL-CARE MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	500 W WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2831
Country	:	US
Telephone Number	:	562-427-1700
Fax Number	:	562-427-2116

Provider Business Practice Location Address
First Line	:	500 W WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2831
Country	:	US
Telephone Number	:	562-427-1700
Fax Number	:	562-427-2116

Authorized Official
Title or Position	:	CEO
Name	:	DR. REFAAT A ABRAHAM
Credential	:	M.D.
Telephone Number	:	562-427-1700

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

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Directions to “CAL-CARE MEDICAL GROUP, INC. ” Practice Location

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