Healthcare Provider Details

I. General information

NPI: 1184995870
Provider Name (Legal Business Name): CAL INDUSTRIAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 SPRUCE ST SUITE P
RIVERSIDE CA
92507-2445
US

IV. Provider business mailing address

160 W FOOTHILL PKWY #105 PMB 48
CORONA CA
92882-8545
US

V. Phone/Fax

Practice location:
  • Phone: 951-279-8799
  • Fax: 800-308-2710
Mailing address:
  • Phone: 951-667-0372
  • Fax: 800-308-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberA72688
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License NumberA72688
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA72688
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA72688
License Number StateCA

VIII. Authorized Official

Name: DR. CHIRAG AMIN
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 951-667-0372