| Organization Name: | CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC |
| NPI Number: | 1659357341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAOUF KHALIL (CEO) |
| Mailing Address: | 5700 Canoga Ave Suite 500 Woodland Hills |
| State: | CA US |
| Postal Code: | 913676579 |
| Phone Number: | 8003773606 |
| Fax Number: | 8185958206 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 33579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |