Organization
SUMMIT HEALTHCARE IPA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK N SAMONTE MD (CEO)
(310) 850-5630
Entity
Organization
Contact information
Practice address
23049 ARCHIBALD AVE, CARSON, CA 90745-4718
(310) 850-5630
(888) 444-9401
Mailing address
6119 E WASHINGTON BLVD, COMMERCE, CA 90040-2436
(888) 350-6599
(888) 444-9401
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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