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Organization
A DE LA PENA M D A MEDICAL GROUP INC
Active
Organization
A DE LA PENA M D A MEDICAL GROUP INC
Active
Other names
A. DE LA PENA MD, AMG, INC.
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
2446 W WHITTIER BLVD, MONTEBELLO, CA 90640-3041
(323) 728-5500
(323) 728-4408
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
08/08/2006
Last updated
07/31/2009
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