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Contact Information

ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA
1020 S. GARFIELD AVE.
ALHAMBRA, CA91801-4762
 Phone: 626-943-7465
 Fax: 626-458-8051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA

NPI Number 1114265907
LBN Legal business name ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA
Authorized official MICHELLE BLACK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2013
Last updated 11/12/2024 - More than a year ago
Identifiers
CA License # A64044
CA Other A64044 STATE LICENSE (CALIFORNIA)
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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