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A DE LA PENA M D A MEDICAL GROUP INC NPI 1962412643


NPI Information

NPI: 1962412643
Provider Name: A DE LA PENA M D A MEDICAL GROUP INC

Doing Business As: A. DE LA PENA MD, AMG, INC.

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
139 S ALVARADO ST
LOS ANGELES, CA
ZIP 90057
Phone: (213) 484-0170
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A DE LA PENA M D A MEDICAL GROUP INC is an ophthalmology in Los Angeles, 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. A DE LA PENA M D A MEDICAL GROUP INC NPI is 1962412643. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A. De La Pena Md, Amg, Inc..

The provider's business location address is:

139 S ALVARADO ST
LOS ANGELES, CA
ZIP 90057-201
Phone: (213) 484-0170
Fax: (213) 484-0246

The provider's authorized official is Albert De La Pena .
The authorized official title is Owner and has the following contact phone number (323) 728-5500.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/25/2013.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11196AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
20610180001MEDICARE NSC

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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