# ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA

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

## Provider details

- **NPI number:** 1114265907
- **Authorized official:** MICHELLE STEWART BLACK ETC (ADMINISTRATOR)
- **Authorized official phone:** (626) 943-7465

## Contact information

- **Practice address:** 1020 S. GARFIELD AVE., ALHAMBRA, CA 91801-4762
- **Practice address phone:** (626) 943-7465
- **Practice address fax:** (626) 458-8051
- **Mailing address:** 1020 S. GARFIELD AVE., ALHAMBRA, CA 91801-4762
- **Mailing address phone:** (626) 943-7465
- **Mailing address fax:** (626) 458-8051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | A64044 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 11/12/2024