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Organization
AMG IPA
Active
Organization
AMG IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY G MEKA MD (MD/PRESIDENT)
(949) 750-2060
Entity
Organization
Contact information
Practice address
201 S BROADWAY, SANTA ANA, CA 92701-5633
(949) 750-2060
Mailing address
201 S BROADWAY, SANTA ANA, CA 92701-5633
(949) 750-2060
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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