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Organization
ADVANCED MEDICAL GROUP, INC
Active
Organization
ADVANCED MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ESKAROUS DPM (SECRETARY)
60821328363
Entity
Organization
Contact information
Practice address
510 N PROSPECT AVE, STE 306, REDONDO BEACH, CA 90277-3028
(310) 376-7555
Mailing address
510 N PROSPECT AVE, STE 306, REDONDO BEACH, CA 90277-3028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C55850
CA
213E00000X
Podiatrist
E4996
CA
Other
Enumeration date
06/02/2015
Last updated
06/09/2015
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