Healthcare Provider Details

I. General information

NPI: 1689298317
Provider Name (Legal Business Name): CAREPLUS MEDICAL CLINIC A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5783 E LA PALMA AVE
ANAHEIM CA
92807-2229
US

IV. Provider business mailing address

5783 E LA PALMA AVE
ANAHEIM CA
92807-2229
US

V. Phone/Fax

Practice location:
  • Phone: 714-777-1285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FIROUZEH FAYE SABERI
Title or Position: OWNER, FAMILY NP
Credential: NP
Phone: 714-777-1285