| Organization Name: | CA RELIABLE MEDICAL SYST INC |
| NPI Number: | 1164615704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY BRAVERMAN (PRESIDENT) |
| Mailing Address: | 1220 Elm Ave Imperial Beach |
| State: | CA US |
| Postal Code: | 919322311 |
| Phone Number: | 6192711278 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2007 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 060000581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |