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Organization
ADVANCED IPA INC.
Active
Organization
ADVANCED IPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFRAIN CONTRERAS (COO)
(310) 419-4303
Entity
Organization
Contact information
Practice address
2850 ARTESIA BLVD #105, REDONDO BEACH, CA 90278
(310) 819-4854
Mailing address
1507 7TH STREET SUITE 610, SANTA MONICA, CA 90401
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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