Organization
SCAN HEALTH PLAN
Active
Other names
Independence at Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHMIDT (CEO)
(562) 989-5100
Entity
Organization
Contact information
Practice address
2501 CHERRY AVE, SUITE 380, SIGNAL HILL, CA 90755-2031
(562) 637-7138
(562) 492-9236
Mailing address
2501 CHERRY AVE, SUITE 380, SIGNAL HILL, CA 90755-2031
(562) 637-7138
(562) 492-9236
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSS00005F
—
CA
Enumeration date
09/23/2008
Last updated
09/23/2008
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