1. Home
  2. Directory
  3. California
  4. Pasadena
  5. Clinic Center
  6. NPI Profile

INNOVA PHYSICIAN NETWORK
NPI 1629659016
Clinic/Center - Primary Care in Pasadena, CA

Active since April 16, 2021
1403 N. FAIR OAKS AVENUE, SUITE 3, PASADENA, CA 91103(323) 639-6593(626) 398-0357 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innova Physician Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVA PHYSICIAN NETWORK (NPI 1629659016) is a healthcare organization registered as a primary care in Pasadena, California and active in the NPI registry since April 2021. The organization lists Joon Park, Director Of Network Development, as its authorized official.

NPPES Registry Identity

NPI1629659016
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINNOVA PHYSICIAN NETWORK
Location Address1403 N. FAIR OAKS AVENUE, SUITE 3Pasadena, CA 91103
Mailing Address1403 N. Fair Oaks Avenue, Suite 3Pasadena, CA 91103
Phone(323) 639-6593
Fax(626) 398-0357
Organization SubpartYesParent: Innova Physician Network, Inc
Authorized OfficialJoon ParkDirector Of Network Development · (323) 639-6593
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1629659016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1403 N. FAIR OAKS AVENUE, Pasadena, CA 91103
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innova Physician Network's NPI number?

The NPI number for Innova Physician Network is 1629659016. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Innova Physician Network located?

Innova Physician Network is located at 1403 N. Fair Oaks Avenue Suite 3, Pasadena, CA 91103. The listed phone number is (323) 639-6593.

What is Innova Physician Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Innova Physician Network was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.