NPI | 1962412643 |
---|---|
Doing Business As | A. DE LA PENA MD, AMG, INC. |
Entity Type | Organization |
Authorized Contact | ALBERT DE LA PENA Owner 323-728-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-08-08 |
Last Update Date | 2013-02-25 |