MEDICARE: AMG MEDICAL,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	PT 13500	CA

General Provider Information

NPI Number	:	1366582405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMG MEDICAL,INC

Provider Business Mailing Address
First Line	:	41 N GARFIELD AVE # ST.103
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3556
Country	:	US
Telephone Number	:	626-588-2948
Fax Number	:	626-588-2948

Provider Business Practice Location Address
First Line	:	41 N GARFIELD AVE # ST.103
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3556
Country	:	US
Telephone Number	:	626-588-2948
Fax Number	:	626-588-2948

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOHN WEI
Credential	:	M.D.
Telephone Number	:	626-588-2948

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

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