Individual
JOHN D AMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15247 ELEVENTH ST STE 200, VICTORVILLE, CA 92395-3727
(760) 245-8645
(760) 245-6798
Mailing address
15247 ELEVENTH ST STE 200, VICTORVILLE, CA 92395-3727
(760) 245-8645
(760) 245-6798
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A30230
CA
207YX0602X
Otolaryngic Allergy Physician
A30230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756041862
RAILROAD MEDICARE
CA
01
—
ZZZ37372
BLUE SHIELD GROUP
CA
Enumeration date
03/09/2006
Last updated
08/28/2019
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