Pacific Crest Healthcare Independent Provider Association, Inc.

LBN: Pacific Crest Healthcare Independent Provider Association, Inc.
Pacific Crest Healthcare Independent Provider Association, Inc. is an health care organization with primary practice located at 6 Veranda , Newport Coast CA 92657-1632. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Pacific Crest Healthcare Independent Provider Association, Inc. can be contacted via phone (818) 399-8996, or through Phan, Lan via phone (818) 399-8996.

Contact Information

Primary practice address
6 Veranda Newport Coast CA 92657-1632
Phone: (818) 399-8996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Lan MPH
Phone: (818) 399-8996

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1043977655
LBN Legal business name Pacific Crest Healthcare Independent Provider Association, Inc.
DBA Doing business as
Authorized official Phan, Lan MPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2021
Last updated Nov 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043977655 NPPES
California Other C4080636 CALIFORNIA SECRETARY OF STATE CORPORATION

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