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Organization

A. DE LA PENA MD, AMG, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT DE LA PENA M.D. (OWNER)
(323) 728-5500
Entity
Organization

Contact information

Practice address
2715 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5746
(323) 585-3504
(323) 581-3957
Mailing address
2446 W WHITTIER BLVD, MONTEBELLO, CA 90640-3041
(323) 728-5500
(323) 728-4408

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
08/05/2006
Last updated
02/02/2009
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