Provider Demographics
NPI:1578978730
Name:IPC HEARTCARE CENTER LLC
Entity Type:Organization
Organization Name:IPC HEARTCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PRATIKSHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-306-4704
Mailing Address - Street 1:3100 CHINO HILLS PKWY
Mailing Address - Street 2:SUITE # 526
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4287
Mailing Address - Country:US
Mailing Address - Phone:909-450-9625
Mailing Address - Fax:
Practice Address - Street 1:2140 GRAND AVE
Practice Address - Street 2:STE #210
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6800
Practice Address - Country:US
Practice Address - Phone:909-450-9625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service