NPI | 1811901762 |
---|---|
Doing Business As | A. DE LA PENA MD, AMG, INC. |
Entity Type | Organization |
Authorized Contact | ALBERT DE LA PENA President/ Medical Director 714-558-1385 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-07-28 |
Last Update Date | 2013-06-18 |