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DE LA PENA EYE CLINIC AMG INC NPI 1518971464


NPI Information

NPI: 1518971464
Provider Name: DE LA PENA EYE CLINIC, AMG, INC

Doing Business As: DE LA PENA EYE CLINIC, AMG, INC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2715 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 585-3504
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DE LA PENA EYE CLINIC, AMG, INC is an ophthalmology in Huntington Park, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DE LA PENA EYE CLINIC, AMG, INC NPI is 1518971464. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As De La Pena Eye Clinic, Amg, Inc.

The provider's business location address is:

2715 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255-746
Phone: (323) 585-3504
Fax: (323) 581-3957

The provider's authorized official is Mark Kelly .
The authorized official title is Member, Board Of Managers and has the following contact phone number (615) 345-6900.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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