| Amalia A. Armenta, Md, Apc | |
|
3600 N. Verdugo Blvd Ste. #301 Glendale CA 91208-1219 | |
| (818) 952-3075 | |
| (310) 952-5572 |
| Full Name | Amalia A. Armenta, Md, Apc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 N. Verdugo Blvd, Glendale, California |
| Authorized Official Name and Position | Amalia Armenta (CEO) |
| Authorized Official Contact | 8189523075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amalia A. Armenta, Md, Apc 3600 N. Verdugo Blvd. Ste. #301 Glendale CA 91208-1219 Ph: (818) 952-3075 | Amalia A. Armenta, Md, Apc 3600 N. Verdugo Blvd Ste. #301 Glendale CA 91208-1219 Ph: (818) 952-3075 |
| NPI Number | 1790921872 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 07/02/2012 |
| Medicare PECOS PAC ID | 8325112279 |
|---|---|
| Medicare Enrollment ID | O20110817000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921872 | NPI | - | NPPES |
| 05D1060948 | Other | CA | CLIA CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A80646 (California) | Primary |
| Provider Name | Amalia A Armenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902959240 PECOS PAC ID: 4880683242 Enrollment ID: I20040510001705 |
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