| Summit Healthcare Ipa Corp. | |
|
23049 Archibald Ave Carson CA 90745-4718 | |
| (310) 850-5630 | |
| (888) 444-9401 |
| Full Name | Summit Healthcare Ipa Corp. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 23049 Archibald Ave, Carson, California |
| Authorized Official Name and Position | Mark N Samonte (CEO) |
| Authorized Official Contact | 3108505630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Healthcare Ipa Corp. 6119 E Washington Blvd Commerce CA 90040-2436 Ph: (888) 350-6599 | Summit Healthcare Ipa Corp. 23049 Archibald Ave Carson CA 90745-4718 Ph: (310) 850-5630 |
| NPI Number | 1093284408 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093284408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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