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Organization
NXT IPA INC
Active
Organization
NXT IPA INC
Active
Other names
NXT IPA INC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN H CHOI MD (CEO)
(213) 388-5144
Entity
Organization
Contact information
Practice address
414 S PROSPECTORS RD STE B, DIAMOND BAR, CA 91765-1615
(213) 388-5144
(213) 388-5154
Mailing address
414 S PROSPECTORS RD STE B, DIAMOND BAR, CA 91765-1615
(909) 860-0606
(909) 860-6161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245273820
—
CA
Enumeration date
02/05/2019
Last updated
02/05/2019
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