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General NPI Number Information
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NPI Number | 1497790349
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Entity Type | Organization
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Legal Business Name | AMG, A PROFESSIONAL MEDICAL CORP
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 193 E ORANGE GROVE BLVD
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City | PASADENA
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State | CA
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Zip | 91103-3487
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Country | US
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Telephone | 626-282-0282
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Fax | 626-568-3419
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Provider Business Mailing Address
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Address Line | 1668 S GARFIELD AVE FL 2
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City | ALHAMBRA
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State | CA
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Zip | 91801-5400
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Country | US
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Telephone | 626-282-0282
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Fax | 626-282-0939
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. THOMAS S. LAM
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Credential | M.D.
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Telephone | 626-282-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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