Organization
AMBER MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY AGBA (CEO)
(409) 356-9778
Entity
Organization
Contact information
Practice address
165 S CLARENCE ST, LOS ANGELES, CA 90033-3303
(409) 356-9778
Mailing address
165 S CLARENCE ST, LOS ANGELES, CA 90033-3303
(409) 356-9778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
12/27/2024
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