| Amha Medical Group, Inc. | |
|
21081 S Western Ave Suite 250 Torrance CA 90501-1703 | |
| (310) 224-5287 | |
| Not Available |
| Full Name | Amha Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 21081 S Western Ave, Torrance, California |
| Authorized Official Name and Position | James M Pratty (DOCTOR) |
| Authorized Official Contact | 3102245287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amha Medical Group, Inc. 21081 S Western Ave Suite 250 Torrance CA 90501-1703 Ph: (310) 224-5287 | Amha Medical Group, Inc. 21081 S Western Ave Suite 250 Torrance CA 90501-1703 Ph: (310) 224-5287 |
| NPI Number | 1518030642 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 4385687417 |
|---|---|
| Medicare Enrollment ID | O20050608001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518030642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James S Pratty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528049608 PECOS PAC ID: 4587695416 Enrollment ID: I20091222000364 |
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