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Organization

PROGRESSIVE MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN LEPE MBA (ADMINISTRATOR)
(213) 305-9379
Entity
Organization

Contact information

Practice address
6611 SEVILLE AVENUE, HUNTINGTON PARK, CA 90241
(323) 835-6980
(323) 835-6950
Mailing address
10436 DOWNEY AVE, DOWNEY, CA 90241-2514
(213) 305-9379
(323) 835-6950

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10791
CALIFORNIA DMHC
CA
Enumeration date
11/13/2017
Last updated
11/13/2017
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