Healthcare Provider Details

I. General information

NPI: 1518886969
Provider Name (Legal Business Name): AMG, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S GARFIELD AVE STE A
ALHAMBRA CA
91801-3895
US

IV. Provider business mailing address

1668 S GARFIELD AVE
ALHAMBRA CA
91801-5413
US

V. Phone/Fax

Practice location:
  • Phone: 626-289-7333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS LAM
Title or Position: CEO
Credential: MD
Phone: 626-282-0288