Individual
DR. AMANDA JEAN GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2013
(818) 375-3802
Mailing address
5710 CRESCENT PARK E, #141, PLAYA VISTA, CA 90094-2063
(310) 745-3704
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A79080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A790800
—
CA
Enumeration date
06/12/2006
Last updated
12/02/2021
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