Organization
INNOVAGE CALIFORNIA PACE - LOS ANGELES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY ROBERTSON (ASSOCIATE GENERAL COUNSEL)
(720) 454-3186
Entity
Organization
Contact information
Practice address
12130 PARAMOUNT BLVD, DOWNEY, CA 90242-2339
(720) 454-3186
Mailing address
8950 E LOWRY BLVD, DENVER, CO 80230-7030
(720) 454-3186
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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