| Innovative Network Group | |
|
13200 Crossroads Pkwy N Ste 315 City Of Industry CA 91746-3420 | |
| (310) 462-0621 | |
| Not Available |
| Full Name | Innovative Network Group |
|---|---|
| Speciality | Clinic/center |
| Location | 13200 Crossroads Pkwy N Ste 315, City Of Industry, California |
| Authorized Official Name and Position | Lee Suyenaga (MANAGING PRINCIPAL) |
| Authorized Official Contact | 3104620621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Network Group 13200 Crossroads Pkwy N Ste 315 City Of Industry CA 91746-3420 Ph: (310) 462-0621 | Innovative Network Group 13200 Crossroads Pkwy N Ste 315 City Of Industry CA 91746-3420 Ph: (310) 462-0621 |
| NPI Number | 1558123471 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558123471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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