Organization
PHYSICIAN HEALTHCARE INTEGRATION IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH BAO NGUYEN MD (CEO)
(714) 495-4392
Entity
Organization
Contact information
Practice address
6800 LINCOLN AVE, SUITE 200, BUENA PARK, CA 90620
(714) 495-4392
Mailing address
6800 LINCOLN AVE, SUITE 200, BUENA PARK, CA 90620
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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