NPI: 1811440035
Provider Name: AMWELL MEDICAL GROUP INC
Other Name: AMWELL MEDICAL GROUP, INC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization
Specialization: Adult Medicine
Address:
13094 BORDEN AVE
SYLMAR, CA
ZIP 91342
Phone: (818) 855-9406
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AMWELL MEDICAL GROUP INC is an adult medicine family medicine in Sylmar, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AMWELL MEDICAL GROUP INC NPI is 1811440035. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Amwell Medical Group, Inc..
The provider's business location address is:
13094 BORDEN AVE
SYLMAR, CA
ZIP 91342-211
Phone: (818) 855-9406
Fax: (818) 475-1732
The provider's authorized official is Petros Hajian .
The authorized official title is President/ceo and has the following contact phone number (818) 855-9406.
The enumeration date for this NPI number is 7/25/2016 and was last updated on 7/25/2016.