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Organization
MY CHOICE IPA
Active
Organization
MY CHOICE IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY CAREY (ADMINISTRATOR)
(818) 702-0100
Entity
Organization
Contact information
Practice address
6400 CANOGA AVE, SUITE 163, WOODLAND HILLS, CA 91367-2425
(818) 702-0100
(818) 702-9128
Mailing address
6400 CANOGA AVE, SUITE 163, WOODLAND HILLS, CA 91367-2425
(818) 702-0100
(818) 702-9128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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