| NPI | 1811440035 |
|---|---|
| Other Name | AMWELL MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | PETROS HAJIAN President/CEO 818-855-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |