INNOVATIVE NETWORK GROUP – NPI #1558123471
Clinic/Center

INNOVATIVE NETWORK GROUP is a AHC clinic located in CITY OF INDUSTRY, CA. NPPES recently assigned the NPI number 1558123471 to INNOVATIVE NETWORK GROUP on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATIVE NETWORK GROUP below.

NPI Profile for
INNOVATIVE NETWORK GROUP

NPI Number
1558123471
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATIVE NETWORK GROUP
Primary location
13200 CROSSROADS PKWY N STE 315
CITY OF INDUSTRY, CA 91746-3420
Phone: (310) 462-0621 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEE SUYENAGA
MANAGING PRINCIPAL
Phone: (310) 462-0621
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.