| Advanced Medical Group, Inc | |
|
510 N Prospect Ave Ste 306 Redondo Beach CA 90277-3028 | |
| (310) 376-7555 | |
| Not Available |
| Full Name | Advanced Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 510 N Prospect Ave, Redondo Beach, California |
| Authorized Official Name and Position | Michael Eskarous (SECRETARY) |
| Authorized Official Contact | 60821328363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Group, Inc 510 N Prospect Ave Ste 306 Redondo Beach CA 90277-3028 Ph: () - | Advanced Medical Group, Inc 510 N Prospect Ave Ste 306 Redondo Beach CA 90277-3028 Ph: (310) 376-7555 |
| NPI Number | 1003296369 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003296369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C55850 (California) | Primary |
| 213E00000X | Podiatrist | E4996 (California) | Secondary |
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