Provider Demographics
NPI:1447874516
Name:CALIFORNIA CARE WELLNESS MEDICAL CENTER INC.
Entity type:Organization
Organization Name:CALIFORNIA CARE WELLNESS MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TEJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-839-8878
Mailing Address - Street 1:9436 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 5 PMB 1113
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134
Mailing Address - Country:US
Mailing Address - Phone:855-839-8878
Mailing Address - Fax:
Practice Address - Street 1:6280 JACKSON DRIVE
Practice Address - Street 2:SUITE 8
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119
Practice Address - Country:US
Practice Address - Phone:855-839-8878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty