Organization
ADVANCED MANAGEMENT PRACTICE PHYSICIAN ASSISTANT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN MARTIN PHELPS PA-C (PRESIDENT)
(760) 400-6375
Entity
Organization
Contact information
Practice address
41715 WINCHESTER RD STE 107, TEMECULA, CA 92590-4853
(951) 501-0049
(833) 585-1122
Mailing address
4225 EXECUTIVE SQ STE 600, PMB6042, LA JOLLA, CA 92037
(760) 400-6375
(858) 216-8050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
12/10/2024
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