Organization · Type 2 NPI
Summit Healthcare Ipa Corp.
Adult Medicine Physician · Carson, CA
NPI number
1093284408
Active
Practice location
23049 Archibald Ave
Carson, CA 90745-4718
Fax (888) 444-9401
Mailing address
6119 E Washington Blvd
Commerce, CA 90040-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
About NPI 1093284408
Summit Healthcare Ipa Corp.'s National Provider Identifier is 1093284408, issued on Nov 14, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Carson, CA. The record was last updated on Nov 14, 2018.