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NPI 1164972345 · live from the CMS NPI Registry

Amity Medical Group, INC.

Hospitalist in Los Angeles, CA. National Provider Identifier 1164972345, active.

NPI record

NPI1164972345 Type 2 · organization
StatusActive
Primary specialtyHospitalist 208M00000X
Practice location2080 Century Park E Ste 608, Los Angeles, CA 90067
Practice phone310-801-8333
Mailing address10351 Wilshire Blvd, 202, Los Angeles, CA 90024
EnumeratedOctober 11, 2016
Last updatedMarch 17, 2018
Authorized officialMichael Watson, Office Manager

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical103TC0700X—
Internal Medicine207R00000X—
Internal Medicine, Critical Care Medicine207RC0200X—
Internal Medicine, Gastroenterology207RG0100X—
Internal Medicine, Nephrology207RN0300X—
Internal Medicine, Pulmonary Disease207RP1001X—
Ophthalmology207W00000X—
Otolaryngology207Y00000X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Podiatrist, Foot & Ankle Surgery213ES0103X—
Hospitalist primary208M00000XA77236 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.