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NPI 1689728735 · Health Maintenance Organization · Monterey Park, CA
Provider details
- NPI number
- 1689728735
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Azucena Porral, Medical Director(626) 457-5579
Specialties & taxonomies
Managed Care Organizations
Practice location
880 S Atlantic Blvd
Suite 201
Monterey Park, CA 91754-4700
Phone: (626) 457-5579
Fax: (626) 457-7274
Approximate (ZIP-level) locationGet directions
Mailing address
880 S Atlantic Blvd
Monterey Park, CA 91754-4700
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.