Organization
AMAVI A PROFESSIONAL MEDICAL
Active
Organization
AMAVI A PROFESSIONAL MEDICAL
Active
Other names
GUADALAJARA MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MANUEL PEDROZA M.D (MD)
(323) 263-3861
Entity
Organization
Contact information
Practice address
2705 WHITTIER BLVD, LOS ANGELES, CA 90023-1441
(323) 263-3861
(323) 262-7132
Mailing address
2705 WHITTIER BLVD, LOS ANGELES, CA 90023-1441
(323) 263-3861
(323) 262-7132
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
A51722
CA
261QP2300X
Primary Care Clinic/Center
A51722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ43635Z
GROUP NUMBER
CA
Enumeration date
04/24/2007
Last updated
03/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up