Amg, A Professional Medical Corp

LBN: Amg, A Professional Medical Corp
Amg, A Professional Medical Corp is an health care organization with primary practice located at 193 E Orange Grove Blvd , Pasadena CA 91103-3487. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Amg, A Professional Medical Corp can be contacted via phone (626) 568-3302, or through Lam, Thomas S via phone (626) 282-0282.

Contact Information

Primary practice address
193 E Orange Grove Blvd Pasadena CA 91103-3487
Phone: (626) 568-3302
Fax: (626) 568-3419
Website:
Map and Directions
Authorized official contact:
Name: Lam, Thomas S Doctor of Medicine (MD)
Phone: (626) 282-0282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1497790349
LBN Legal business name Amg, A Professional Medical Corp
DBA Doing business as
Authorized official Lam, Thomas S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Dec 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497790349 NPPES
California MEDICAID GR0058984

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