# ALAMITOS IPA

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

## Provider details

- **NPI number:** 1376583344
- **Authorized official:** CHRISTEN REYNOLDS MBA (DIRECTOR OF FINANCE)
- **Authorized official phone:** (562) 602-1563

## Contact information

- **Practice address:** 4909 LAKEWOOD BLVD, STE. 200, LAKEWOOD, CA 90712-2405
- **Practice address phone:** (562) 602-1563
- **Practice address fax:** (562) 531-0937
- **Mailing address:** 4909 LAKEWOOD BLVD, STE. 200, LAKEWOOD, CA 90712-2405
- **Mailing address phone:** (562) 602-1563
- **Mailing address fax:** (562) 531-0937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 011549 | CA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/26/2012