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General NPI Number Information
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NPI Number | 1275755985
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Entity Type | Individual
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Provider Name | AMY LOUISE FOLK M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3801 LAS POSAS RD SUITE 112
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City | CAMARILLO
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State | CA
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Zip | 93010-1427
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Country | US
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Telephone | 805-388-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 PACIFIC AVE
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5724
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Country | US
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Telephone | 310-302-8994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A69295
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License Number State | CA
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