NPI 1689683278 · live from the CMS NPI Registry
A. De La Pena MD, Amg, INC
Ophthalmology in Huntington Park, CA. National Provider Identifier 1689683278, active.
NPI record
| NPI | 1689683278 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2715 E Florence Ave, Huntington Park, CA 90255 |
| Practice phone | 323-585-3504 |
| Mailing address | 2446 W Whittier Blvd, Montebello, CA 90640 |
| Enumerated | August 5, 2006 |
| Last updated | February 2, 2009 |
| Authorized official | Albert De La Pena, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.