# NXT IPA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NXT IPA INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376008219
- **Authorized official:** EDWIN H CHOI MD (CEO)
- **Authorized official phone:** (213) 388-5144

## Contact information

- **Practice address:** 414 S PROSPECTORS RD STE B, DIAMOND BAR, CA 91765-1615
- **Practice address phone:** (213) 388-5144
- **Practice address fax:** (213) 388-5154
- **Mailing address:** 414 S PROSPECTORS RD STE B, DIAMOND BAR, CA 91765-1615
- **Mailing address phone:** (909) 860-0606
- **Mailing address fax:** (909) 860-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245273820 | — | CA |
