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General NPI Number Information
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NPI Number | 1972723922
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Entity Type | Organization
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Legal Business Name | CAREMAX SAN DIEGO LLC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7915 SILVERTON AVENUE STE 301
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City | SAN DIEGO
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State | CA
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Zip | 92126
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Country | US
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Telephone | 858-684-3028
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Fax | 858-684-3064
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Provider Business Mailing Address
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Address Line | 2410 E BALSAM AVENUE
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City | ANAHEIM
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State | CA
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Zip | 92806
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Country | US
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Telephone | 714-774-8995
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Fax | 714-558-7940
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Authorized Official
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Title or Position | OWNER
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Name | MR. LINO FRANCO CARINGAL JR.
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Credential |
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Telephone | 714-350-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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