Live Well Ipa
NPI #1891413936 in Rancho Mirage, California
Provider Information
- NPI Number
- 1891413936
- Entity Type
- Organization
- Organization Name
- Live Well Ipa
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 35400 BOB HOPE DR STE 204
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-1774
- Phone
- (760) 567-6546
Authorized Official
- Name
- DR. SUMIT MAHAJAN
- Title
- CEO
- Phone
- (760) 567-6545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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