Provider Demographics
NPI:1649948977
Name:OVEDA CARE
Entity type:Organization
Organization Name:OVEDA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-275-7639
Mailing Address - Street 1:17772 IRVINE BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3234
Mailing Address - Country:US
Mailing Address - Phone:909-275-7639
Mailing Address - Fax:909-992-3447
Practice Address - Street 1:17772 IRVINE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3234
Practice Address - Country:US
Practice Address - Phone:909-275-7639
Practice Address - Fax:909-992-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based