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Organization
A AMOLI MD INC
Active
Organization
A AMOLI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSEIN ABED AMOLI M.D. (FAMILY PRACTICE)
(510) 636-1622
Entity
Organization
Contact information
Practice address
6170 THORNTON AVE, SUITE H, NEWARK, CA 94560-3700
(510) 636-1622
(510) 857-5847
Mailing address
6170 THORNTON AVE, SUITE H, NEWARK, CA 94560-3700
(510) 636-1622
(510) 857-5847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366499832
NPI CORPORATION
CA
01
—
1861595233
NPI PERSONAL
CA
01
—
ZZZ03843Z
PTEN
CA
Enumeration date
05/28/2006
Last updated
06/21/2018
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