# SUMMIT HEALTHCARE IPA CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093284408
- **Authorized official:** MARK N SAMONTE MD (CEO)
- **Authorized official phone:** (310) 850-5630

## Contact information

- **Practice address:** 23049 ARCHIBALD AVE, CARSON, CA 90745-4718
- **Practice address phone:** (310) 850-5630
- **Practice address fax:** (888) 444-9401
- **Mailing address:** 6119 E WASHINGTON BLVD, COMMERCE, CA 90040-2436
- **Mailing address phone:** (888) 350-6599
- **Mailing address fax:** (888) 444-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018