Healthcare Provider Details

I. General information

NPI: 1699131094
Provider Name (Legal Business Name): ATLAS MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13120 PHILADELPHIA ST
WHITTIER CA
90601-4301
US

IV. Provider business mailing address

13120 PHILADELPHIA ST
WHITTIER CA
90601-4301
US

V. Phone/Fax

Practice location:
  • Phone: 562-280-7199
  • Fax:
Mailing address:
  • Phone: 562-280-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberA64093
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC22101
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER ARMSTRONG
Title or Position: OWNER
Credential:
Phone: 888-418-6244