Organization
ADVANCED ANESTHESIA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGUED FADLY M.D. (PRESIDENT OWNER)
(818) 225-0045
Entity
Organization
Contact information
Practice address
7325 MEDICAL CENTER DR, #103, WEST HILLS, CA 91307-1925
(818) 225-0045
Mailing address
7325 MEDICAL CENTER DRIVE, 103, WEST HILLS, CA 91307
(818) 225-0045
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A64236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093049413
NPI
CA
Enumeration date
09/06/2016
Last updated
09/06/2016
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