Healthcare Provider Details
I. General information
NPI: 1912486168
Provider Name (Legal Business Name): CAREMORE HEALTH PLAN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8345 FOLSOM BLVD
SACRAMENTO CA
95826-3547
US
IV. Provider business mailing address
12900 PARK PLAZA DR STE 150
CERRITOS CA
90703-9329
US
V. Phone/Fax
- Phone: 888-291-1358
- Fax:
- Phone: 888-291-1358
- Fax: 562-977-6141
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SACHIN
JAIN
Title or Position: PRESIDENT
Credential: MD
Phone: 888-291-1358