AKOS MD IPA LLC

PHOENIX, AZ
NPI1003451386
Entity TypeOrganization
Authorized ContactLAN NHU BICH PHAN
Administrator
818-399-8996
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
AKOS MD IPA LLC
20565 N 19TH AVE
PHOENIX, AZ 85027-3563
Phone number: 818-399-8996
Mailing Address
AKOS MD IPA LLC
2391 CATHERINE RD
ALTADENA, CA 91001-2334
Phone number: 818-399-8996
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