Organization
AMBER L UMSTOT MD INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L UMSTOT MD (PRESIDENT)
(951) 265-7746
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(951) 265-7746
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A108205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A108205
MEDICAL LICENSE
CA
Enumeration date
06/24/2011
Last updated
06/24/2011
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