Provider Demographics
NPI:1548883788
Name:CAREPLAN IPA, INC
Entity type:Organization
Organization Name:CAREPLAN IPA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-586-5877
Mailing Address - Street 1:18000 STUDEBAKER ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7929
Mailing Address - Country:US
Mailing Address - Phone:714-568-5877
Mailing Address - Fax:714-568-5877
Practice Address - Street 1:18000 STUDEBAKER ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7929
Practice Address - Country:US
Practice Address - Phone:714-568-5877
Practice Address - Fax:714-568-5877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization