Healthcare Provider Details

I. General information

NPI: 1073240529
Provider Name (Legal Business Name): INFUCARE MEDICAL GROUP OF CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 MESA COLLEGE DR STE 250A
SAN DIEGO CA
92111-5343
US

IV. Provider business mailing address

16782 VON KARMAN AVE STE 12
IRVINE CA
92606-2417
US

V. Phone/Fax

Practice location:
  • Phone: 844-243-7833
  • Fax:
Mailing address:
  • Phone: 858-314-9222
  • Fax: 949-864-2320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE BENJAMIN
Title or Position: CEO
Credential: R.PH.
Phone: 949-783-7009