St Mary IPA
St Mary IPA is a Health Maintenance Organization in Lakewood, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
4909 Lakewood Blvd Ste 200Lakewood, CA 90712-2405
Phone: (562) 602-1563
Fax: (562) 531-0937
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 011549 (CA) |
|---|
Record details
| NPI number | 1467498865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lakewood IPA, Inc |
| Authorized official | Christen Reynolds — Director Of Finance · (562) 602-1563 |
| NPI enumerated | June 22, 2006 |
| Last updated in NPPES | October 16, 2012 |
| Mailing address | 4909 Lakewood Blvd, Ste. 200, Lakewood, CA 90712-2405 |
Other providers in Lakewood
-
Alamitos IPA
4909 Lakewood Blvd Ste 200, Lakewood, CA 90712-2405 · (562) 602-1563
-
Lakewood IPA
4909 Lakewood Blvd Ste 200, Lakewood, CA 90712-2405 · (562) 602-1563
-
Lakewood IPA, Inc
4909 Lakewood Blvd Ste 200, Lakewood, CA 90712-2405 · (562) 602-1563
-
Premier Health Plan Services, Inc
4909 Lakewood Blvd #200, Lakewood, CA 90712-2405 · (562) 602-1563