# IN PHYSICIAN ASSOCIATES, A PROFESSIONAL MEDICAL CORPORTATION

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

## Provider details

- **NPI number:** 1386283042
- **Authorized official:** KENNETH LI (DIRECTOR OF CONFIGURATION)
- **Authorized official phone:** (323) 579-0703

## Contact information

- **Practice address:** 6119 E WASHINGTON BLVD STE 201, COMMERCE, CA 90040-2452
- **Practice address phone:** (323) 899-8283
- **Mailing address:** 6119 E WASHINGTON BLVD STE 201, COMMERCE, CA 90040-2452
- **Mailing address phone:** (323) 899-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 12/30/2019