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Organization
A. DE LA PENA MD, AMG, INC
Active
Organization
A. DE LA PENA MD, AMG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DE LA PENA M.D. (OWNER)
(323) 728-5500
Entity
Organization
Contact information
Practice address
2715 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5746
(323) 585-3504
(323) 581-3957
Mailing address
2446 W WHITTIER BLVD, MONTEBELLO, CA 90640-3041
(323) 728-5500
(323) 728-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
02/02/2009
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