Healthcare Provider Details

I. General information

NPI: 1952917700
Provider Name (Legal Business Name): CARENODES HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 RINALDI ST STE 335
MISSION HILLS CA
91345-1237
US

IV. Provider business mailing address

340 S LEMON AVE # 9885
WALNUT CA
91789-2706
US

V. Phone/Fax

Practice location:
  • Phone: 310-626-0149
  • Fax: 310-626-0149
Mailing address:
  • Phone: 310-626-0149
  • Fax: 310-626-0149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RODNEY SAMAAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-626-0149