# ADVANCED ANESTHESIA MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104373281
- **Authorized official:** DR. MAGUED FADLY M.D. (PRESIDENT OWNER)
- **Authorized official phone:** (818) 225-0045

## Contact information

- **Practice address:** 7325 MEDICAL CENTER DR, \#103, WEST HILLS, CA 91307-1925
- **Practice address phone:** (818) 225-0045
- **Mailing address:** 7325 MEDICAL CENTER DRIVE, 103, WEST HILLS, CA 91307
- **Mailing address phone:** (818) 225-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A64236 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 09/06/2016
