Innova Medical Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNOVA MEDICAL NETWORK INC

Practice address

600 North Garfield Ave
Ste 111
Monterey Park, CA 91754

Phone

(702) 761-9915

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joon Park

Title

Chief Operation Officer

Phone

(702) 761-9915

Specialties & licenses 1

Addresses

Other names 1

• Innova Medical Network Inc Former legal business name

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1215757059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WILSHIRE BLVD # 1369",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172415",
            "telephone_number": "702-761-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH GARFIELD AVE",
            "address_2": "STE 111",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "702-761-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA MEDICAL NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "702-761-9915"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innova Medical Network Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Raymond Ibarra, WELLNESS COACH
• Icare Medical Group
• Cynthia Ines
• Simon Quoc Ing, D.C.
• Innerhealth Chiropractic and Wellness
• Insignia Health Corp
• Joy Ireland
• Isaac J. Chen, D.D.S., Inc.
• Frida Michelle Islas
• Ivory Hospice, Inc (Ivory Hospice and Palliative Care)

• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.