NPI 1053604454
Avante Best Care Ipa
Practice location
- Address
- 2360 Huntington Dr STE 201, San Marino, CA 91108-2651
- Phone
- (626) 656-2370
- Fax
- (626) 248-9060
Authorised official
- Name
- Lan Nhu Bich Phan
- Title
- Administrator
- Phone
- (626) 656-2370
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1053604454
- Entity type
- Organization
- NPI issued
- 18 May 2011
- Record last updated
- 18 May 2011
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.