Organization
PHYSICIAN CARE IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE BUI (ADMINISTRATOR)
(562) 888-1415
Entity
Organization
Contact information
Practice address
3900 KILROY AIRPORT WAY, SUITE 110, LONG BEACH, CA 90806-6809
(562) 888-1415
(562) 424-1826
Mailing address
3900 KILROY AIRPORT WAY, SUITE 110, LONG BEACH, CA 90806-6809
(562) 888-1415
(562) 424-1826
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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