Provider Demographics
NPI:1689291510
Name:CARE 1 MEDICAL
Entity type:Organization
Organization Name:CARE 1 MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHOTORENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-351-2078
Mailing Address - Street 1:11770 WARNER AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2659
Mailing Address - Country:US
Mailing Address - Phone:949-200-7133
Mailing Address - Fax:949-385-6708
Practice Address - Street 1:11770 WARNER AVE STE 111
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2659
Practice Address - Country:US
Practice Address - Phone:949-200-7133
Practice Address - Fax:949-385-6708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE 1 LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment