Organization
ADVANCED MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ESKAROUS DPM (SECRETARY)
60821328363
Entity
Organization
Contact information
Practice address
510 N PROSPECT AVE, STE 306, REDONDO BEACH, CA 90277-3028
(310) 376-7555
Mailing address
510 N PROSPECT AVE, STE 306, REDONDO BEACH, CA 90277-3028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C55850
CA
213E00000X
Podiatrist
E4996
CA
Other
Enumeration date
06/02/2015
Last updated
06/09/2015
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