Center Ipa

NPI 1184014847 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1184014847
Enumeration Date 02/02/2015
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KENNETH K KENNETH
Position CEO
Phone (714) 495-4392
Fax (714) 922-9833
Practice Location
17215 STUDEBAKER RD STE 330
CERRITOS CA, 90703-2538, US
Phone (714) 495-4392
Fax (714) 922-9833
Business Location
17215 STUDEBAKER RD STE 330
CERRITOS CA, 90703-2538, US
Phone (714) 495-4392
Fax (714) 922-9833
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
Remove 1184014847 NPI Number
 

According to our database, Center Ipa NPI is 1184014847, taxonomy code is 302R00000X Center Ipa physically located at 17215 Studebaker Rd Ste 330, Cerritos CA, 90703-2538. NPI Number 1033115704 has the healthcare provider type.

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1184014847 NPI number is provided on an as is basis without warranty of any kind. 1184014847 is maintained by the National Plan & Provider Enumeration System. The contents of Center Ipa are for informational purposes only.