NPI 1003451386

Akos MD Ipa LLC

Organisation Exclusive Provider Organization Phoenix, AZ

Practice location

Address: 20565 N 19th Ave, Phoenix, AZ 85027-3563
Phone: (818) 399-8996
Fax: (866) 627-3093
Mailing address: 2391 Catherine Rd, Altadena, CA 91001-2334

Authorised official

Name: Lan Nhu Bich Phan
Title: Administrator
Phone: (818) 399-8996

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1003451386
Entity type: Organization
NPI issued: 11 Nov 2019
Record last updated: 11 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.