| Memorial Healthcare Ipa Gp C/o Independent Physician Mgnt Servic | |
|
2704 E Willow St Signal Hill CA 90755-2217 | |
| (562) 595-0203 | |
| (562) 595-0062 |
| Full Name | Memorial Healthcare Ipa Gp C/o Independent Physician Mgnt Servic |
|---|---|
| Speciality | General Practice |
| Location | 2704 E Willow St, Signal Hill, California |
| Authorized Official Name and Position | Kurt M Tamaru (PRESIDENT) |
| Authorized Official Contact | 5629819500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Healthcare Ipa Gp C/o Independent Physician Mgnt Servic 1100 E Willow St Signal Hill CA 90755-3433 Ph: (562) 981-9500 | Memorial Healthcare Ipa Gp C/o Independent Physician Mgnt Servic 2704 E Willow St Signal Hill CA 90755-2217 Ph: (562) 595-0203 |
| NPI Number | 1770772824 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770772824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Ronald A Zent Mdinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 E Willow St, Signal Hill, CA 90755 Phone: 562-595-0203 Fax: 562-506-0444 |