| Amg, A Professional Medical Corp | |
|
193 E Orange Grove Blvd Pasadena CA 91103-3487 | |
| (626) 568-3302 | |
| (626) 568-3419 |
| Full Name | Amg, A Professional Medical Corp |
|---|---|
| Speciality | Pediatrics |
| Location | 193 E Orange Grove Blvd, Pasadena, California |
| Authorized Official Name and Position | Thomas S Lam (DIRECTOR) |
| Authorized Official Contact | 6262820282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg, A Professional Medical Corp 925 S Garfield Ave Alhambra CA 91801-4442 Ph: (626) 282-0282 | Amg, A Professional Medical Corp 193 E Orange Grove Blvd Pasadena CA 91103-3487 Ph: (626) 568-3302 |
| NPI Number | 1497790349 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497790349 | NPI | - | NPPES |
| GR0058984 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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