MEMORIAL HEALTHCARE IPA GP C/O INDEPENDENT PHYSICIAN MGNT SERVIC NPI 1770772824

NPI Information

MEMORIAL HEALTHCARE IPA GP C/O INDEPENDENT PHYSICIAN MGNT SERVIC is a general practice in Signal Hill, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEMORIAL HEALTHCARE IPA GP C/O INDEPENDENT PHYSICIAN MGNT SERVIC NPI is 1770772824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2704 E WILLOW ST
SIGNAL HILL, CA
ZIP 90755-217
Phone: (562) 595-0203
Fax: (562) 595-0062

The provider's authorized official is Kurt M Tamaru .
The authorized official title is President and has the following contact phone number (562) 981-9500.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 7/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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