Uptimum Medical Group And Ipa Inc

LBN: Uptimum Medical Group And Ipa Inc
Uptimum Medical Group And Ipa Inc is an health care organization with primary practice located at 2220 W Manchester Blvd , Inglewood CA 90305-2514. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Uptimum Medical Group And Ipa Inc can be contacted via phone (310) 644-8400, or through Wallace, Olukemi Aderonke via phone (310) 644-8400.

Contact Information

Primary practice address
2220 W Manchester Blvd Inglewood CA 90305-2514
Fax:
Website:
Authorized official contact:
Name: Wallace, Olukemi Aderonke Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A48240 California

Profile Details

NPI number 1568649226
LBN Legal business name Uptimum Medical Group And Ipa Inc
DBA Doing business as
Authorized official Wallace, Olukemi Aderonke Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2008
Last updated Jul 21st, 2022 - about 3 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 1568649226 NPPES
California MEDICAID 8831128

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