Innova Physician Network
Innova Physician Network is a Primary Care Clinic/Center in Pasadena, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1403 N Fair Oaks Ave Ste 3Pasadena, CA 91103
Phone: (323) 639-6593
Fax: (626) 398-0357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1629659016 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Innova Physician Network, Inc |
| Authorized official | Joon Park — Director Of Network Development · (323) 639-6593 |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | April 16, 2021 |
| Mailing address | 1403 N. Fair Oaks Avenue, Suite 3, Pasadena, CA 91103 |
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