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Organization
PACIFIC HEALTHCARE IPA MEDICAL ASSOCIATION, INC.
Active
Organization
PACIFIC HEALTHCARE IPA MEDICAL ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTINO BERNADETT M.D. (PRESIDENT)
(562) 446-2999
Entity
Organization
Contact information
Practice address
5000 AIRPORT PLAZA DR, SUITE 150, LONG BEACH, CA 90815-1271
(562) 766-2000
(562) 766-2008
Mailing address
5000 AIRPORT PLAZA DR, SUITE 150, LONG BEACH, CA 90815-1271
(562) 766-2000
(562) 766-2008
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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