LAKEWOOD IPA

CYPRESS, CA
NPI1568994028
Other NameCOAST HEALTHCARE MANAGEMENT, LLC
Entity TypeOrganization
Authorized ContactKATHRYNE MCGOWAN
Chief Executive Officer
562-602-1563
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2017-04-03
Last Update Date2017-04-03
Business Address
LAKEWOOD IPA
10833 VALLEY VIEW ST SUITE 300
CYPRESS, CA 90630-5046
Phone number: 562-602-1563
Mailing Address
LAKEWOOD IPA
10833 VALLEY VIEW ST SUITE 300
CYPRESS, CA 90630-5046
Phone number: 562-602-1563