MEDICARE: AFFILIATED PARTNERS IPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1295237246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATED PARTNERS IPA

Provider Business Mailing Address
First Line	:	1210 N JEFFERSON ST
Second Line	:	UNIT D
City	:	ANAHEIM
State	:	CA
Zip	:	92807-1630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 E PACIFIC COAST HWY
Second Line	:	STE 102
City	:	LONG BEACH
State	:	CA
Zip	:	90806-5579
Country	:	US
Telephone Number	:	562-287-8887
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN TUAN NGUYEN
Credential	:	M.D.
Telephone Number	:	562-591-3222

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	03/06/2018

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Directions to “AFFILIATED PARTNERS IPA ” Practice Location

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