Healthcare Provider Details
I. General information
NPI: 1881360766
Provider Name (Legal Business Name): AME MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2021
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11938 PARAMOUNT BLVD
DOWNEY CA
90242-2306
US
IV. Provider business mailing address
11942 PARAMOUNT BLVD STE B
DOWNEY CA
90242-2306
US
V. Phone/Fax
- Phone: 562-923-6060
- Fax: 562-923-6601
- Phone: 562-923-6060
- Fax: 562-923-6601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUNIL
NARKAR
Title or Position: CEO
Credential:
Phone: 562-923-6060