Organization
A. DE LA PENA M D A MEDICAL GROUP INC
Active
Other names
A. De La Pena MD, AMG, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DE LA PENA M.D. (PRESIDENT/ MEDICAL DIRECTOR)
(818) 988-1111
Entity
Organization
Contact information
Practice address
7100 VAN NUYS BLVD, SUITE 120, VAN NUYS, CA 91405-3063
(818) 988-1111
(818) 988-1734
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
07/28/2006
Last updated
02/25/2013
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