Organization
DEL AMO FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO AQUINO (BILLING MANAGER)
(310) 543-1695
Entity
Organization
Contact information
Practice address
3475 TORRANCE BLVD, SUITE G, TORRANCE, CA 90503-5800
(310) 543-1695
Mailing address
3475 TORRANCE BLVD, SUITE G, TORRANCE, CA 90503-5800
(310) 543-1695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G29047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G29047
MD LICENSE
CA
Enumeration date
10/23/2008
Last updated
10/23/2008
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