ADVANCED MEDICAL GROUP INC NPI 1003296369

NPI Information

  • NPI: 1003296369
  • Provider Name: ADVANCED MEDICAL GROUP, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 510 N PROSPECT AVE
    STE 306
    REDONDO BEACH, CA
    ZIP 90277
  • Phone: (310) 376-7555

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NPI Details

ADVANCED MEDICAL GROUP, INC is a family medicine in Redondo Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVANCED MEDICAL GROUP, INC NPI is 1003296369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

510 N PROSPECT AVE
STE 306
REDONDO BEACH, CA
ZIP 90277-028
Phone: (310) 376-7555

The provider's authorized official is Michael Eskarous .
The authorized official title is Secretary and has the following contact phone number 60821328363.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristE4996CALIFORNIANo
2207Q00000XFamily MedicineC55850CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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