Pioneer Provider Network
Pioneer Provider Network is a Family Medicine Physician in Lakewood, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
4909 Lakewood Blvd 200Lakewood, CA 90712-2405
Phone: (560) 602-1563
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (CA) |
|---|
Record details
| NPI number | 1528260643 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonnie Eng — Provider Relations Manager · (562) 602-1563 |
| NPI enumerated | June 1, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4909 Lakewood Blvd, 200, Lakewood, CA 90712-2405 |
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