# PHYSICIAN CARE IPA INC

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

## Provider details

- **NPI number:** 1629441472
- **Authorized official:** MS. MICHELLE BUI (ADMINISTRATOR)
- **Authorized official phone:** (562) 888-1415

## Contact information

- **Practice address:** 3900 KILROY AIRPORT WAY, SUITE 110, LONG BEACH, CA 90806-6809
- **Practice address phone:** (562) 888-1415
- **Practice address fax:** (562) 424-1826
- **Mailing address:** 3900 KILROY AIRPORT WAY, SUITE 110, LONG BEACH, CA 90806-6809
- **Mailing address phone:** (562) 888-1415
- **Mailing address fax:** (562) 424-1826

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015