Provider Demographics
NPI:1629817275
Name:CAL COORDINATORS LLC
Entity type:Organization
Organization Name:CAL COORDINATORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-810-7050
Mailing Address - Street 1:851 IRWIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3343
Mailing Address - Country:US
Mailing Address - Phone:818-810-7050
Mailing Address - Fax:
Practice Address - Street 1:851 IRWIN ST STE 303
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3343
Practice Address - Country:US
Practice Address - Phone:818-810-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management