Provider Demographics
NPI:1073321188
Name:AMERICARE MEDICAL INC
Entity type:Organization
Organization Name:AMERICARE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARINEH
Authorized Official - Middle Name:MIDDLE NAME
Authorized Official - Last Name:OHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-241-2103
Mailing Address - Street 1:445 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1208
Mailing Address - Country:US
Mailing Address - Phone:818-241-2103
Mailing Address - Fax:818-241-1090
Practice Address - Street 1:445 W BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1208
Practice Address - Country:US
Practice Address - Phone:818-241-2103
Practice Address - Fax:818-241-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty