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Organization

SENIOR FIRST IPA

Active
Other names
ChoiceOne IPA
Organization subpart
No

Provider details

NPI number
Authorized official
KELVIN MAI D.O. (CEO)
(714) 495-4392
Entity
Organization

Contact information

Practice address
6800 LINCOLN AVE, SUITE 200, BUENA PARK, CA 90620
(714) 495-4392
(714) 388-3354
Mailing address
6800 LINCOLN AVE, SUITE 200, BUENA PARK, CA 90620
(714) 495-4392
(714) 388-3354

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C3748755
CA

Other

Enumeration date
04/14/2015
Last updated
10/04/2021
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