Amplify Medical PC
Optometrist in Bellflower, CA. Organization (NPI-2).
NPI number1104577972
StatusActive
Last updated in NPPESNov 22, 2022
Details
- NPI
- 1104577972
- Entity type
- Organization (NPI-2)
- Legal business name
- Amplify Medical PC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2022
- Certification date
- Nov 22, 2022
- Last updated
- Nov 22, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
16816 Clark AveBellflower, CA 90706-5702
Phone 562-925-6591 · Fax 582-867-8719
Mailing address
16816 Clark AveBellflower, CA 90706-5702
Phone 562-925-6591
Authorized official
Avi Factor
Owner
4233218233
Is something wrong?
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