Individual
AMY C DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045-3945
(310) 337-1550
Mailing address
2529 S MADDOCK ST, SANTA ANA, CA 92704-5520
(657) 900-6674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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