Basic Information
| Provider Information | |||||||||
| NPI: | 1043514474 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAL FAMILY HEALTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1415 N ACACIA AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | REEDLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936542449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596388187 | ||||||||
| FaxNumber: | 5596383883 | ||||||||
| Practice Location | |||||||||
| Address1: | 326 W CAROB AVE | ||||||||
| Address2: | |||||||||
| City: | REEDLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936542107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596388187 | ||||||||
| FaxNumber: | 5596383883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2010 | ||||||||
| LastUpdateDate: | 12/28/2010 | ||||||||
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| AuthorizedOfficialLastName: | MATHARU | ||||||||
| AuthorizedOfficialFirstName: | JOGINDER | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5596388187 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | CAL FAMILY HEALTH, INC. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | A38200 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.