Akos MD Ipa LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

AKOS MD IPA LLC

Practice address

20565 N 19TH Ave
Phoenix, AZ 85027-3563

Phone

(818) 399-8996

Fax

(866) 627-3093

NPI assigned

Nov 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lan Nhu Bich Phan

Title

Administrator

Phone

(818) 399-8996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1003451386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 CATHERINE RD",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012334",
            "telephone_number": "818-399-8996",
            "fax_number": "866-627-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "818-399-8996",
            "fax_number": "866-627-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKOS MD IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NHU BICH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-399-8996",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Exclusive Provider Organization in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.