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Organization
PIONEER PROVIDER NETWORK
Active
Organization
PIONEER PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE ENG (PROVIDER RELATIONS MANAGER)
(562) 602-1563
Entity
Organization
Contact information
Practice address
4909 LAKEWOOD BLVD, 200, LAKEWOOD, CA 90712-2405
(560) 602-1563
Mailing address
4909 LAKEWOOD BLVD, 200, LAKEWOOD, CA 90712-2405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
06/01/2007
Last updated
07/21/2022
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