MEDICARE: MARIA F AMADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A50884	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A508840	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1073606208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA F AMADO M.D.

Provider Business Mailing Address
First Line	:	23388 MULHOLLAND DR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2733
Country	:	US
Telephone Number	:	818-876-1624
Fax Number	:	818-876-0436

Provider Business Practice Location Address
First Line	:	23388 MULHOLLAND DR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2733
Country	:	US
Telephone Number	:	818-876-1624
Fax Number	:	818-876-0436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	02/17/2009

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