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Organization

PACIFIC HEALTHCARE IPA MEDICAL ASSOCIATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAUSTINO BERNADETT M.D. (PRESIDENT)
(562) 446-2999
Entity
Organization

Contact information

Practice address
5000 AIRPORT PLAZA DR, SUITE 150, LONG BEACH, CA 90815-1271
(562) 766-2000
(562) 766-2008
Mailing address
5000 AIRPORT PLAZA DR, SUITE 150, LONG BEACH, CA 90815-1271
(562) 766-2000
(562) 766-2008

Taxonomy

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

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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