Organization
ACCESS IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZUCENA PORRAL M.D. (MEDICAL DIRECTOR)
(626) 457-5579
Entity
Organization
Contact information
Practice address
880 S ATLANTIC BLVD, SUITE 201, MONTEREY PARK, CA 91754-4700
(626) 457-5579
(626) 457-7274
Mailing address
880 S ATLANTIC BLVD, SUITE 201, MONTEREY PARK, CA 91754-4700
(626) 457-5579
(626) 457-7274
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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