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Organization
DEL AMO FAMILY MEDICAL GROUP INC
Active
Organization
DEL AMO FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO AQUINO (BILLING MANAGER)
(310) 543-1695
Entity
Organization
Contact information
Practice address
3475 TORRANCE BLVD, SUITE G, TORRANCE, CA 90503-5800
(310) 543-1695
Mailing address
3475 TORRANCE BLVD, SUITE G, TORRANCE, CA 90503-5800
(310) 543-1695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G29047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G29047
MD LICENSE
CA
Enumeration date
10/23/2008
Last updated
10/23/2008
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