Healthcare Provider Details

I. General information

NPI: 1316856032
Provider Name (Legal Business Name): CALI MED CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7211 VAN NUYS BLVD
VAN NUYS CA
91405-2256
US

IV. Provider business mailing address

7211 VAN NUYS BLVD
VAN NUYS CA
91405-2256
US

V. Phone/Fax

Practice location:
  • Phone: 818-988-2722
  • Fax:
Mailing address:
  • Phone: 818-988-2722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROMEO V HERRERA
Title or Position: CEO
Credential:
Phone: 310-407-9331