Avante Best Care Ipa

Organization Active NPI Exclusive Provider Organization · San Marino, CA

NPI 1053604454 · NPPES record last updated May 18, 2011

Key facts

NPI
1053604454
Entity type
Organization (NPI type 2)
Primary specialty
Exclusive Provider Organization 302F00000X
Legal business name
AVANTE BEST CARE IPA
Practice address
2360 Huntington Dr Ste 201
San Marino, CA 91108-2651
Phone
(626) 656-2370
Fax
(626) 248-9060
NPI assigned
May 18, 2011
Organization subpart
No

Authorized official

Name
Ms. Lan Nhu Bich Phan, MPH
Title
Administrator
Phone
(626) 656-2370

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Yes

Addresses

Primary practice location

2360 Huntington Dr Ste 201
San Marino, CA 91108-2651

Mailing address

2360 Huntington Dr Ste 201
San Marino, CA 91108-2651
Phone (626) 656-2370

Other providers in San Marino, CA

All providers in San Marino, CA · Exclusive Provider Organization in California

Sources for this page

Verify at the official NPI Registry.