Organization
CHS IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PETRUCCI MD (PRESIDENT)
(213) 259-0245
Entity
Organization
Contact information
Practice address
1150 S OLIVE ST STE 1200, LOS ANGELES, CA 90015-2211
(213) 259-0245
Mailing address
1150 S OLIVE ST STE 1200, LOS ANGELES, CA 90015-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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