Organization Name: | COMMUNICARE HEALTH CENTERS |
NPI Number: | 1396091872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN AFFRIME (CEO) |
Mailing Address: | 2051 John Jones Rd Davis |
State: | CA US |
Postal Code: | 956169701 |
Phone Number: | 5307583498 |
Fax Number: | 5307588490 |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 030000770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |