Organization
PARAGON HEALTH PARTNERS IPA APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY CHAVEZ (EXECUTIVE ADMINISTRATIVE ASSISTANT)
(760) 490-9982
Entity
Organization
Contact information
Practice address
16024 KAMANA RD, APPLE VALLEY, CA 92307-1308
(760) 490-9982
(760) 241-6383
Mailing address
PO BOX 1985, VICTORVILLE, CA 92393-1985
(760) 490-9982
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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