Organization
AMPLIFY PHYSICIANS OF CALIFORNIA PC
Active
Parent organization
AMPLIFY PHYSICIANS OF CALIFORNIA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMPLIFY PHYSICIANS OF CALIFORNIA PC
Authorized official
DAVID BRUCE MARK MD (OWNER)
(408) 739-6200
Entity
Organization
Contact information
Practice address
4403 S VERMONT AVE, LOS ANGELES, CA 90037-2413
(323) 232-1234
Mailing address
6125 LUTHER LN # 572, DALLAS, TX 75225-6202
(312) 608-4584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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