Organization · NPI-2
Access Ipa
Health Maintenance Organization · Monterey Park, CA
NPI number1689728735
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1689728735
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Ipa
- Organization subpart
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
880 S Atlantic BlvdSuite 201
Monterey Park, CA 91754-4700
Phone 626-457-5579 · Fax 626-457-7274
Mailing address
880 S Atlantic BlvdSuite 201
Monterey Park, CA 91754-4700
Phone 626-457-5579 · Fax 626-457-7274
Authorized official
Azucena Porral
Medical Director
6264575579
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