| Organization Name: | ALL CARE MEDICAL GROUP INC |
| NPI Number: | 1093860314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL ROTENBERG (MEDICAL DIRECTOR) |
| Mailing Address: | 2675 E Slauson Avenue Professional Services Medical Group Inc Huntington Park |
| State: | CA US |
| Postal Code: | 90255 |
| Phone Number: | 3235896681 |
| Fax Number: | 3235894903 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 09/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |