OrganizationActive
Advanced Medical Doctors of California, Ipa
NPI 1114265907 · Health Maintenance Organization · Alhambra, CA
Provider details
- NPI number
- 1114265907
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michelle Black, Administrator(626) 943-7465
- License
- A64044 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1020 S. Garfield Ave.
Alhambra, CA 91801-4762
Phone: (626) 943-7465
Fax: (626) 458-8051
Approximate (ZIP-level) locationGet directions
Mailing address
1020 S. Garfield Ave.
Alhambra, CA 91801-4762
Registry dates
- Enumerated
- 2013-01-29
- Last updated
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.