Healthcare Provider Details

I. General information

NPI: 1710342357
Provider Name (Legal Business Name): CAREMORE HEALTH PLAN OF ARIZONA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 11/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 COLIMA RD STE 1000
WHITTIER CA
90605-1813
US

IV. Provider business mailing address

9209 COLIMA RD STE 1000
WHITTIER CA
90605-1813
US

V. Phone/Fax

Practice location:
  • Phone: 562-696-1104
  • Fax:
Mailing address:
  • Phone: 562-696-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: SACHIN JAIN
Title or Position: PRESIDENT
Credential: MD
Phone: 888-291-1358