Healthcare Provider Details

I. General information

NPI: 1275571903
Provider Name (Legal Business Name): REGIONAL PHYSICIANS IPA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2690 PACIFIC AVE SUITE 290
LONG BEACH CA
90806-2657
US

IV. Provider business mailing address

2690 PACIFIC AVE SUITE 290
LONG BEACH CA
90806-2657
US

V. Phone/Fax

Practice location:
  • Phone: 562-599-0609
  • Fax: 562-595-8884
Mailing address:
  • Phone: 562-599-0609
  • Fax: 562-595-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SEN BIN LAI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-599-0609