Innova Physician Network

LBN: Innova Physician Network
Innova Physician Network is an health care organization with primary practice located at 1403 N. Fair Oaks Avenue Suite 3, Pasadena CA 91103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Innova Physician Network can be contacted via phone (323) 639-6593, or through Park, Joon via phone (323) 639-6593.

Contact Information

Primary practice address
1403 N. Fair Oaks Avenue Suite 3 Pasadena CA 91103
Phone: (323) 639-6593
Fax: (626) 398-0357
Website:
Map and Directions
Authorized official contact:
Name: Park, Joon
Phone: (323) 639-6593

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1629659016
LBN Legal business name Innova Physician Network
DBA Doing business as
Authorized official Park, Joon
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2021
Last updated Apr 16th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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