# COMMUNITYCARE IPA, LLC

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

## Provider details

- **NPI number:** 1639508450
- **Authorized official:** YVONNE BELL MBA (CEO)
- **Authorized official phone:** (760) 344-9951

## Contact information

- **Practice address:** 1166 K ST, BRAWLEY, CA 92227-2737
- **Practice address phone:** (760) 344-9951
- **Practice address fax:** (760) 344-5840
- **Mailing address:** 1166 K ST, BRAWLEY, CA 92227-2737
- **Mailing address phone:** (760) 344-9951

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013