=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568250389
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREHEALTH MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2025
-----------------------------------------------------
Last Update Date | 04/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8345 PINE AVE STE 140
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91708-9638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-320-5918
-----------------------------------------------------
Fax | 501-271-4687
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13396 GLEN ECHO CT
-----------------------------------------------------
City | EASTVALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92880-3496
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-320-5918
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | JASKARANDEEP SINGH
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 313-320-5918
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------