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Organization
AMITY MEDICAL GROUP, INC.
Active
Organization
AMITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WATSON (OFFICE MANAGER)
(562) 305-9238
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 608, LOS ANGELES, CA 90067-2009
(310) 801-8333
(877) 563-0602
Mailing address
10351 WILSHIRE BLVD, 202, LOS ANGELES, CA 90024-4736
(310) 801-8333
(877) 563-0602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208M00000X
Hospitalist Physician
Primary
A77236
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
10/11/2016
Last updated
03/17/2018
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