Beverly Alliance Ipa
NPI #1598131450 in Cerritos, California
Provider Information
- NPI Number
- 1598131450
- Entity Type
- Organization
- Organization Name
- Beverly Alliance Ipa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 14, 2015
- Last Updated
- Aug 14, 2015
Practice Location
- Address
- 17215 STUDEBAKER RD STE 331
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-2557
- Phone
- (714) 495-4392
Authorized Official
- Name
- KHALID NUR, M.D.
- Title
- CEO
- Phone
- (714) 495-4392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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