Provider Demographics
NPI:1275571903
Name:REGIONAL PHYSICIANS IPA, INC.
Entity Type:Organization
Organization Name:REGIONAL PHYSICIANS IPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEN
Authorized Official - Middle Name:BIN
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-599-0609
Mailing Address - Street 1:2690 PACIFIC AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2657
Mailing Address - Country:US
Mailing Address - Phone:562-599-0609
Mailing Address - Fax:562-595-8884
Practice Address - Street 1:2690 PACIFIC AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2657
Practice Address - Country:US
Practice Address - Phone:562-599-0609
Practice Address - Fax:562-595-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty