Organization
AMG, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S. LAM MD (CHIEF EXECUTIVE OFFICER)
(626) 943-6228
Entity
Organization
Contact information
Practice address
4528 SLAUSON AVE, MAYWOOD, CA 90270-2934
(213) 792-4456
Mailing address
4528 SLAUSON AVE, MAYWOOD, CA 90270-2934
(213) 792-4456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/21/2023
Last updated
11/28/2023
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