# AE PROFESSIONAL MEDICAL GROUP CORPORATION

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

## Provider details

- **NPI number:** 1538952544
- **Authorized official:** ARMANDO CANLAS NP (CEO)
- **Authorized official phone:** (818) 754-7986

## Contact information

- **Practice address:** 1600 ROSECRANS AVE BLDG 7 STE 400, MANHATTAN BEACH, CA 90266-3708
- **Practice address phone:** (818) 754-7986
- **Mailing address:** 1600 ROSECRANS AVE STE 400, MANHATTAN BEACH, CA 90266-3708
- **Mailing address phone:** (818) 754-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2025
- **Last updated:** 06/03/2025