Equality, an Independent Practice Association, Inc., a Medical Group
NPI #1437493970 in San Marino, California
Provider Information
- NPI Number
- 1437493970
- Entity Type
- Organization
- Organization Name
- Equality, an Independent Practice Association, Inc., a Medical Group
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 21, 2012
- Last Updated
- Nov 21, 2012
Practice Location
- Address
- 2360 HUNTINGTON DR STE 201
- Address 2
- SAN MARINO
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2651
- Phone
- (818) 399-8996
Authorized Official
- Name
- MS. LAN NHU BICH PHAN
- Title
- ADMINISTRATOR
- Phone
- (818) 399-8996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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