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Organization
ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA
Active
Organization
ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STEWART BLACK ETC (ADMINISTRATOR)
(626) 943-7465
Entity
Organization
Contact information
Practice address
1020 S. GARFIELD AVE., ALHAMBRA, CA 91801-4762
(626) 943-7465
(626) 458-8051
Mailing address
1020 S. GARFIELD AVE., ALHAMBRA, CA 91801-4762
(626) 943-7465
(626) 458-8051
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A64044
CA
Other
Enumeration date
01/29/2013
Last updated
11/12/2024
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