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Organization

A AMOLI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOSSEIN ABED AMOLI M.D. (FAMILY PRACTICE)
(510) 636-1622
Entity
Organization

Contact information

Practice address
6170 THORNTON AVE, SUITE H, NEWARK, CA 94560-3700
(510) 636-1622
(510) 857-5847
Mailing address
6170 THORNTON AVE, SUITE H, NEWARK, CA 94560-3700
(510) 636-1622
(510) 857-5847

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366499832
NPI CORPORATION
CA
01
1861595233
NPI PERSONAL
CA
01
ZZZ03843Z
PTEN
CA
Enumeration date
05/28/2006
Last updated
06/21/2018
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