Organization · NPI-2

Alpha Omega Multispecialty Group

Surgery · Monterey Park, CA

NPI number1366564841
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1366564841
Entity type
Organization (NPI-2)
Legal business name
Alpha Omega Multispecialty Group
Organization subpart
No
Enumeration date
Apr 4, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryG48262CAYes

Practice location

600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170

Phone 626-572-8412

Mailing address

2755 E California Blvd
Pasadena, CA 91107-5302

Phone 626-584-0468 · Fax 626-698-3355

Authorized official

Raymond Wp Leung
Owner
6265728412

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