Huntington Trauma Surgery Med Group, Inc

NPI 1093023780 - Surgery - 208600000X

NPI Details
NPI 1093023780
Enumeration Date 09/16/2010
Last Updated 09/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name AMAL K AMAL
Position PRESIDENT
Phone (626) 449-4859
Fax (626) 403-0311
Practice Location
1044 S FAIR OAKS AVE
SUITE 101
PASADENA CA, 91105-2622, US
Phone (626) 449-4859
Fax (626) 403-0311
Business Location
PO BOX 80248
SAN MARINO CA, 91118-8248, US
Phone (626) 768-4415
Fax (626) 768-4421
Toxanomy
Taxonomy Code 208600000X
License State California
License Number A75419
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According to our database, Huntington Trauma Surgery Med Group, Inc NPI is 1093023780, taxonomy code is 208600000X and license number is A75419, license state is located at California. Huntington Trauma Surgery Med Group, Inc physically located at 1044 S Fair Oaks Ave, Pasadena CA, 91105-2622. NPI Number 1033115704 has the healthcare provider type.

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1093023780 NPI number is provided on an as is basis without warranty of any kind. 1093023780 is maintained by the National Plan & Provider Enumeration System. The contents of Huntington Trauma Surgery Med Group, Inc are for informational purposes only.