Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W WILLOW ST
LONG BEACH CA
90806-2831
US

IV. Provider business mailing address

500 W WILLOW ST
LONG BEACH CA
90806-2831
US

V. Phone/Fax

Practice location:
  • Phone: 562-427-1700
  • Fax: 562-427-2116
Mailing address:
  • Phone: 562-427-1700
  • Fax: 562-427-2116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberA35232
License Number StateCA

VIII. Authorized Official

Name: DR. REFAAT A ABRAHAM
Title or Position: CEO
Credential: M.D.
Phone: 562-427-1700