Organization
PHYSICIANS HEALTHWAYS MEDICAL CORPORATION
Active
Other names
Physicians Healthways Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN W KIRBY (INFORMATION SYSTEMS DIRECTOR)
(626) 388-2300
Entity
Organization
Contact information
Practice address
1540 BRIDGEGATE DR, DIAMOND BAR, CA 91765-3912
(626) 388-2300
(626) 388-2317
Mailing address
1540 BRIDGEGATE DR, DIAMOND BAR, CA 91765-3912
(626) 388-2300
(626) 388-2317
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
02/07/2014
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