Paradise Health Aco, LLC

Organization Active NPI Health Maintenance Organization · Topanga, CA

NPI 1992054910 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1992054910
Entity type
Organization (NPI type 2)
Primary specialty
Health Maintenance Organization 302R00000X
Legal business name
PARADISE HEALTH ACO, LLC
Practice address
20314 Paradise LN
Topanga, CA 90290-3728
Phone
(310) 455-0320
NPI assigned
Sep 5, 2012
Organization subpart
No

Authorized official

Name
Mr. Edmumd P. Carlson
Title
President
Phone
(310) 455-0320

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Yes

Addresses

Primary practice location

20314 Paradise LN
Topanga, CA 90290-3728

Mailing address

20314 Paradise LN
Topanga, CA 90290-3728
Phone (310) 455-0320

Other providers in Topanga, CA

All providers in Topanga, CA · Health Maintenance Organization in California

Sources for this page

Verify at the official NPI Registry.