Pioneer Provider Network - Primary Care in Lakewood, CA

Pioneer Provider Network is a primary clinic (Family Medicine) in Lakewood, California. The current practice location for Pioneer Provider Network is 4909 Lakewood Blvd, 200, Lakewood, California. For appointments, you can reach them via phone at (560) 602-1563. The mailing address for Pioneer Provider Network is 4909 Lakewood Blvd, 200, Lakewood, California and phone number is () -.

Pioneer Provider Network is licensed to practice in California (license number ) and its NPI number is 1528260643. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (560) 602-1563.

Contact Information

Pioneer Provider Network
4909 Lakewood Blvd
200
Lakewood
CA 90712-2405
(560) 602-1563
Not Available

Primary Care Clinic Profile

Full NamePioneer Provider Network
SpecialityFamily Medicine
Location4909 Lakewood Blvd, Lakewood, California
Authorized Official Name and PositionBonnie Eng (PROVIDER RELATIONS MANAGER)
Authorized Official Contact5626021563
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pioneer Provider Network
4909 Lakewood Blvd
200
Lakewood
CA 90712-2405

Ph: () -
Pioneer Provider Network
4909 Lakewood Blvd
200
Lakewood
CA 90712-2405

Ph: (560) 602-1563

NPI Details:

NPI Number1528260643
Provider Enumeration Date06/01/2007
Last Update Date07/21/2022

Medical Identifiers

Medical identifiers for Pioneer Provider Network such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528260643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (California)Primary

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