Lakewood Ipa
NPI #1568994028 in Cypress, California
Provider Information
- NPI Number
- 1568994028
- Entity Type
- Organization
- Organization Name
- Lakewood Ipa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Apr 3, 2017
Practice Location
- Address
- 10833 VALLEY VIEW ST
- Address 2
- SUITE 300
- City
- Cypress
- State
- California
- ZIP Code
- 90630-5046
- Phone
- (562) 602-1563
Authorized Official
- Name
- MRS. KATHRYNE MCGOWAN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (562) 602-1563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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