Provider Demographics
NPI:1841624533
Name:IPA HEALTH
Entity type:Organization
Organization Name:IPA HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NAVID
Authorized Official - Last Name:SAYAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-385-0000
Mailing Address - Street 1:436 NORTH BEDFORD DRIVE SUITE 202
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-385-7700
Mailing Address - Fax:310-385-7710
Practice Address - Street 1:436 NORTH BEDFORD DRIVE SUITE 202
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-385-7700
Practice Address - Fax:310-385-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization