MEDICARE: MEGA CARE HEALTH PROFESSIONALS SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1083877880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGA CARE HEALTH PROFESSIONALS SERVICES INC

Provider Business Mailing Address
First Line	:	333 N LANTANA ST
Second Line	:	SUITE 124
City	:	CAMARILLO
State	:	CA
Zip	:	93010-9010
Country	:	US
Telephone Number	:	805-445-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 N LANTANA ST
Second Line	:	SUITE 124
City	:	CAMARILLO
State	:	CA
Zip	:	93010-9010
Country	:	US
Telephone Number	:	805-445-9900
Fax Number	:

Authorized Official
Title or Position	:	CEO/BDD
Name	:	CRISTIE TOLOTTI
Credential	:
Telephone Number	:	805-445-9900

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/02/2008

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