Organization · Type 2 NPI

Wings of Refuge

Exclusive Provider Organization · Los Angeles, CA

NPI number 1124396031 Active

Practice location

4650 W Olympic Blvd
Los Angeles, CA 90019-1831

Call (323) 900-2700 Map

Fax (323) 936-8455

Mailing address

5777 W Century Blvd, Suite 910
Los Angeles, CA 90045-5600

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000XNone listed

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

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About NPI 1124396031

Wings of Refuge's National Provider Identifier is 1124396031, issued on Dec 6, 2011. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 6, 2011.