Organization
ADVANTAGE CARE IPA
Active
Other names
Advantage Care IPA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STEWART BLACK (ADMINISTRATOR)
(626) 943-7465
Entity
Organization
Contact information
Practice address
1020 S. GARFIELD AVE., ALHAMBRA, CA 91801
(626) 943-7465
(626) 458-8051
Mailing address
1020 S. GARFIELD AVE., ALHAMBRA, CA 91801
(626) 943-7465
(626) 458-8051
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
11/12/2024
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