Healthcare Provider Details

I. General information

NPI: 1033024302
Provider Name (Legal Business Name): CAREPLUS MEDICAL-WEST FLORENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 W FLORENCE AVE
LOS ANGELES CA
90047-2101
US

IV. Provider business mailing address

PO BOX 1109
MANHATTAN BEACH CA
90267-1109
US

V. Phone/Fax

Practice location:
  • Phone: 323-565-4093
  • Fax:
Mailing address:
  • Phone: 323-565-4093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARAH HARATI
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 310-766-7298