AMITY MEDICAL GROUP, INC.; NPI #1164972345

Contact Information

AMITY MEDICAL GROUP, INC.

2080 CENTURY PARK E STE 608
LOS ANGELES, CA 90067-2009

Phone: 310-801-8333
Fax: 877-563-0602
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospitalist	208M00000X
Clinical	103TC0700X	62	Psychologist, Clinical
Critical Care Medicine	207RC0200X	11	Physician/Internal Medicine
Gastroenterology	207RG0100X	10	Physician/Gastroenterology
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Nephrology	207RN0300X	11	Physician/Internal Medicine
Ophthalmology	207W00000X	18	Physician/Ophthalmology
Otolaryngology	207Y00000X	04	Physician/Otolaryngology
Psychiatry	2084P0800X	26	Physician/Psychiatry
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine
Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for AMITY MEDICAL GROUP, INC.

NPI Number 1164972345

LBN Legal business name AMITY MEDICAL GROUP, INC.

Authorized official MICHAEL WATSON - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2016

Last updated 03/17/2018 - About 8 years ago

Identifiers

License #

A77236

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AMITY MEDICAL GROUP, INC.

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NPI Profile & details for AMITY MEDICAL GROUP, INC.

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