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Organization
ALAMITOS IPA
Active
Organization
ALAMITOS IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN REYNOLDS MBA (DIRECTOR OF FINANCE)
(562) 602-1563
Entity
Organization
Contact information
Practice address
4909 LAKEWOOD BLVD, STE. 200, LAKEWOOD, CA 90712-2405
(562) 602-1563
(562) 531-0937
Mailing address
4909 LAKEWOOD BLVD, STE. 200, LAKEWOOD, CA 90712-2405
(562) 602-1563
(562) 531-0937
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
011549
CA
Other
Enumeration date
06/07/2006
Last updated
09/26/2012
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