Healthcare Provider Details

I. General information

NPI: 1124519251
Provider Name (Legal Business Name): HEALTH & CARE CALIFORNIA MEDICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S SYRACUSE ST STE 900
DENVER CO
80237-2741
US

IV. Provider business mailing address

4700 S SYRACUSE ST STE 900
DENVER CO
80237-2741
US

V. Phone/Fax

Practice location:
  • Phone: 866-657-7991
  • Fax:
Mailing address:
  • Phone: 866-657-7991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MINA OBBEHAT
Title or Position: PRESIDENT & MEDICAL DIRECTOR
Credential: MD
Phone: 866-657-7991