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General NPI Number Information
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NPI Number | 1366582405
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Entity Type | Organization
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Legal Business Name | AMG MEDICAL,INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41 N GARFIELD AVE # ST.103
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City | ALHAMBRA
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State | CA
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Zip | 91801-3556
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Country | US
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Telephone | 626-588-2948
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Fax | 626-588-2948
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Provider Business Mailing Address
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Address Line | 41 N GARFIELD AVE # ST.103
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City | ALHAMBRA
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State | CA
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Zip | 91801-3556
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Country | US
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Telephone | 626-588-2948
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Fax | 626-588-2948
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN WEI
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Credential | M.D.
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Telephone | 626-588-2948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 13500
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License Number State | CA
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