# ADVANTAGE CARE IPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advantage Care IPA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699845081
- **Authorized official:** MICHELLE STEWART BLACK (ADMINISTRATOR)
- **Authorized official phone:** (626) 943-7465

## Contact information

- **Practice address:** 1020 S. GARFIELD AVE., ALHAMBRA, CA 91801
- **Practice address phone:** (626) 943-7465
- **Practice address fax:** (626) 458-8051
- **Mailing address:** 1020 S. GARFIELD AVE., ALHAMBRA, CA 91801
- **Mailing address phone:** (626) 943-7465
- **Mailing address fax:** (626) 458-8051

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 11/12/2024