Organization
IMPACT CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION, INC.
Active
Other names
Impact California IPA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMI LYNN WALKER MD (PRESIDENT)
(661) 428-2875
Entity
Organization
Contact information
Practice address
556 S FAIR OAKS AVE STE 101-5, PASADENA, CA 91105-2656
(626) 412-4280
Mailing address
556 S FAIR OAKS AVE STE 101-5, PASADENA, CA 91105-2656
(626) 412-4280
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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