NPI 1962412643 · live from the CMS NPI Registry
A De La Pena M D A Medical Group INC
Ophthalmology in Los Angeles, CA. National Provider Identifier 1962412643, active.
NPI record
| NPI | 1962412643 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 139 S Alvarado St, Los Angeles, CA 90057 |
| Practice phone | 213-484-0170 |
| Mailing address | 2446 W Whittier Blvd, Montebello, CA 90640 |
| Enumerated | August 8, 2006 |
| Last updated | February 25, 2013 |
| Authorized official | Albert De La Pena, Owner |
| Other names | A. De La Pena MD, Amg, INC. |
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.