NPI 1982618849
A. de La Pena M D a Medical Group INC
Practice location
- Address
- 7100 van Nuys Blvd Suite 120, Van Nuys, CA 91405-3063
- Phone
- (818) 988-1111
- Fax
- (818) 988-1734
- Mailing address
- 2446 W Whittier Blvd, Montebello, CA 90640-3041
Authorised official
- Name
- Albert de La Pena
- Title
- President/ Medical Director
- Phone
- (818) 988-1111
Registered specialties (2)
Ophthalmology Physician
Primary
Optometrist
Registry record
- NPI
- 1982618849
- Entity type
- Organization
- NPI issued
- 28 Jul 2006
- Record last updated
- 25 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.