NPI 1124866959 · live from the CMS NPI Registry
Amplify Physicians Of California PC
Optometrist in Los Angeles, CA. National Provider Identifier 1124866959, active.
NPI record
| NPI | 1124866959 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4403 S Vermont Ave, Los Angeles, CA 90037 |
| Practice phone | 323-232-1234 |
| Mailing address | 6125 Luther Ln # 572, Dallas, TX 75225 |
| Enumerated | July 16, 2024 |
| Last updated | July 16, 2024 |
| Authorized official | David Mark, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
| Ophthalmology | 207W00000X | — |
| Clinic/Center | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.